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Nuclear Scan For Damaged Heart Muscle

Tennessee 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 October 2026.

How much does Nuclear Scan For Damaged Heart Muscle cost?

$347

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $347 for this service. Most negotiated rates run $204 to $550.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $468 · 10th to 90th $347 to $708Professionalmedian $316 · 10th to 90th $166 to $1,445
$200$500$1K$2Kfacility $468professional $316

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$177.83
Median
$177.83
Typical High
$208.93
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$37.15
Typical High
$43.65
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$141.25
Median
$144.54
Typical High
$229.09
BCBS Tennessee
Setting
Professional
Modifier
None (both parts)
Typical Low
$165.96
Median
$269.15
Typical High
$537.03
BCBS Tennessee
Setting
Professional
Modifier
26 · Professional part
Typical Low
$51.29
Median
$75.86
Typical High
$120.23
BCBS Tennessee
Setting
Professional
Modifier
TC · Technical part
Typical Low
$194.98
Median
$288.40
Typical High
$457.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$467.74
Typical High
$707.95
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$165.96
Median
$323.59
Typical High
$602.56
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$66.07
Typical High
$131.83
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$131.83
Median
$257.04
Typical High
$478.63
Lucent Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,778.28
Lucent Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Lucent Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,412.54
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$213.80
Median
$295.12
Typical High
$549.54
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$56.23
Typical High
$120.23
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$169.82
Median
$234.42
Typical High
$426.58
3 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$89.13
Median
$91.20
Typical High
$114.82
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$35.48
Median
$36.31
Typical High
$46.77
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$141.25
Median
$141.25
Typical High
$186.21

Where Tennessee sits

The same service costs 4.6 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Tennessee· 13th of 51

$347

AK $832TX $182

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.