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Heart Pumping Function Scan (Gated Blood Pool)

Tennessee rates for HCPCS 78472

A small amount of radioactive tracer is attached to the patient's own red blood cells and tracked with a special camera timed to the heartbeat, producing a moving picture of the heart chambers as they fill and empty. The study calculates how much blood the heart pumps with each beat and evaluates how the heart walls move, either at rest or after a stress trigger.

Rates data updated October 2026.

How much does Heart Pumping Function Scan (Gated Blood Pool) cost?

$347

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $347 for this service. Most negotiated rates run $214 to $562.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $468 · 10th to 90th $347 to $631Professionalmedian $316 · 10th to 90th $166 to $1,549
$200$500$1Kfacility $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
$181.97
Median
$190.55
Typical High
$323.59
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$181.97
Median
$190.55
Typical High
$316.23
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$40.74
Typical High
$67.61
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$144.54
Median
$151.36
Typical High
$245.47
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
BCBS Tennessee
Setting
Professional
Modifier
None (both parts)
Typical Low
$165.96
Median
$275.42
Typical High
$549.54
BCBS Tennessee
Setting
Professional
Modifier
26 · Professional part
Typical Low
$54.95
Median
$79.43
Typical High
$128.82
BCBS Tennessee
Setting
Professional
Modifier
TC · Technical part
Typical Low
$199.53
Median
$288.40
Typical High
$467.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$467.74
Typical High
$630.96
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$323.59
Typical High
$616.60
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$70.79
Typical High
$138.04
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$131.83
Median
$251.19
Typical High
$478.63
Lucent Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,778.28
Lucent Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Lucent Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,412.54
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$213.80
Median
$295.12
Typical High
$562.34
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$60.26
Typical High
$128.82
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$169.82
Median
$234.42
Typical High
$436.52
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
$91.20
Median
$95.50
Typical High
$120.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$36.31
Median
$38.02
Typical High
$47.86
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$147.91
Median
$147.91
Typical High
$190.55

Where Tennessee sits

The same service costs 3.5 times more in Wisconsin 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· 16th of 51

$347

WI $676TX $191

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.