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Nuclear Scan For Damaged Heart Muscle

Virginia 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?

$234

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $234 for this service. Most negotiated rates run $200 to $324.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $234 · 10th to 90th $182 to $437
$50.0$200.0$1.0K$5.0Kprofessional $234

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
$38.02
Median
$75.86
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$204.17
Typical High
$389.05
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$147.91
Median
$165.96
Typical High
$398.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$263.03
Typical High
$380.19
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$154.88
Median
$208.93
Typical High
$302.00
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$295.12
Typical High
$912.01
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$169.82
Median
$190.55
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$295.12
Typical High
$478.63
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$141.25
Median
$239.88
Typical High
$380.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$281.84
Typical High
$295.12
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$54.95
Typical High
$57.54
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$162.18
Median
$223.87
Typical High
$234.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$354.81
Typical High
$436.52
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$64.57
Median
$67.61
Typical High
$91.20
Medcost
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Sentara
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$263.03
Typical High
$1,096.48
Sentara
Setting
Professional
Modifier
TC · Technical part
Typical Low
$194.98
Median
$257.04
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$331.13
Typical High
$501.19
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$158.49
Median
$263.03
Typical High
$416.87

Where Virginia 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.

Virginia $234 · 34th 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.