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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 October 2026.

How much does Nuclear Scan For Damaged Heart Muscle cost?

$240

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $295 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$240$200 to $302
FacilityA hospital or hospital-owned outpatient department$295$170 to $708

How much rates vary

Facilitymedian $295 · 10th to 90th $52 to $1,096Professionalmedian $240 · 10th to 90th $170 to $380
$50$200$1K$5Kfacility $295professional $240

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
$199.53
Median
$199.53
Typical High
$204.17
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$190.55
Median
$199.53
Typical High
$213.80
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$40.74
Typical High
$41.69
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$147.91
Median
$162.18
Typical High
$169.82
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$831.76
Typical High
$1,071.52
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$190.55
Median
$234.42
Typical High
$295.12
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$46.77
Typical High
$60.26
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$151.36
Median
$181.97
Typical High
$229.09
CareFirst
Setting
Professional
Modifier
None (both parts)
Typical Low
$56.23
Median
$208.93
Typical High
$302.00
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$45.71
Typical High
$45.71
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$186.21
Median
$186.21
Typical High
$208.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$562.34
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$181.97
Median
$302.00
Typical High
$436.52
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$60.26
Typical High
$93.33
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$147.91
Median
$239.88
Typical High
$346.74
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$257.04
Typical High
$295.12
Medcost
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$354.81
Typical High
$389.05
Medcost
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$416.87
Medcost
Setting
Professional
Modifier
None (both parts)
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Sentara
Setting
Facility
Modifier
None
Typical Low
$47.86
Median
$229.09
Typical High
$1,096.48
Sentara
Setting
Professional
Modifier
None (both parts)
Typical Low
$58.88
Median
$269.15
Typical High
$676.08
Sentara
Setting
Professional
Modifier
26 · Professional part
Typical Low
$46.77
Median
$60.26
Typical High
$107.15
Sentara
Setting
Professional
Modifier
TC · Technical part
Typical Low
$194.98
Median
$257.04
Typical High
$436.52
United
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$1,122.02
Typical High
$2,511.89
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$194.98
Median
$338.84
Typical High
$478.63
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$66.07
Typical High
$93.33
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$158.49
Median
$275.42
Typical High
$380.19
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
$93.33
Median
$100.00
Typical High
$107.15
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$38.02
Median
$39.81
Typical High
$42.66
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$162.18
Median
$162.18
Typical High
$165.96

Where Virginia 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.

Virginia· 40th of 51

$240

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.