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Nuclear Scan For Damaged Heart Muscle

South Dakota rates for HCPCS 78469

A nuclear medicine scan that uses a small dose of radioactive tracer which gathers in areas of heart muscle that are damaged or hold abnormal deposits. A camera rotates around the chest to build cross-sectional images, so the affected areas can be located and their extent judged. It differs from a stress test, which looks at blood flow to the muscle rather than the muscle itself.

Rates data updated July 2026.

How much does Nuclear Scan For Damaged Heart Muscle cost?

$380

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $380 for this service. Most negotiated rates run $219 to $490.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $380 · 10th to 90th $186 to $617
$200.0$500.0$1.0Kprofessional $380

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$218.78
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$147.91
Median
$147.91
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$489.78
Typical High
$616.60
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$354.81
Median
$389.05
Typical High
$489.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$512.86
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$158.49
Median
$251.19
Typical High
$549.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$380.19
Typical High
$398.11
Sanford Health Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$57.54
Median
$74.13
Typical High
$83.18
Sanford Health Plan
Setting
Professional
Modifier
TC · Technical part
Typical Low
$223.87
Median
$309.03
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$380.19
Typical High
$575.44
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$194.98
Median
$316.23
Typical High
$457.09
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$407.38
Typical High
$407.38
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$281.84
Median
$323.59
Typical High
$323.59

Where South Dakota sits

The same service costs 4.9 times more in Wyoming than in Florida. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $380 · 9th of 51
WY $813FL $166

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.