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Nuclear Scan To Locate A Tumor Or Inflammation

New York rates for HCPCS 78831

A radioactive tracer that gathers at abnormal tissue is given, and a camera then rotates around the body to build cross-sectional images showing exactly where it has collected. The pictures show the location and extent of a tumor or an area of inflammation.

Rates data updated October 2026.

How much does Nuclear Scan To Locate A Tumor Or Inflammation cost?

$676

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $676 from a physician practice, and about $646 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$676$589 to $759
FacilityA hospital or hospital-owned outpatient department$646$200 to $1,820

How much rates vary

Facilitymedian $646 · 10th to 90th $200 to $2,239Professionalmedian $676 · 10th to 90th $550 to $1,318
$200$500$1K$2Kfacility $646professional $676

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
$575.44
Median
$676.08
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$575.44
Median
$575.44
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$66.07
Median
$66.07
Typical High
$87.10
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$512.86
Median
$512.86
Typical High
$630.96
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$575.44
Median
$676.08
Typical High
$1,258.93
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$66.07
Median
$77.62
Typical High
$138.04
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$501.19
Median
$602.56
Typical High
$1,047.13
CDPHP
Setting
Professional
Modifier
None (both parts)
Typical Low
$120.23
Median
$870.96
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$1,862.09
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$549.54
Median
$1,096.48
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$63.10
Median
$64.57
Typical High
$281.84
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$478.63
Median
$977.24
Typical High
$2,630.27
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$676.08
Typical High
$1,905.46
Emblem Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$707.95
Median
$851.14
Typical High
$1,348.96
Emblem Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$85.11
Median
$109.65
Typical High
$165.96
Emblem Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$616.60
Median
$741.31
Typical High
$1,202.26
Excellus BCBS
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Excellus BCBS
Setting
Facility
Modifier
TC · Technical part
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Excellus BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$501.19
Median
$588.84
Typical High
$812.83
Excellus BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$60.26
Median
$79.43
Typical High
$109.65
Excellus BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$426.58
Median
$512.86
Typical High
$707.95
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$257.04
Typical High
$1,122.02
MVP Health Care
Setting
Professional
Modifier
None (both parts)
Typical Low
$645.65
Median
$645.65
Typical High
$1,778.28
United
Setting
Facility
Modifier
None
Typical Low
$2,630.27
Median
$3,019.95
Typical High
$3,715.35
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$562.34
Median
$758.58
Typical High
$1,819.70
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$66.07
Median
$93.33
Typical High
$208.93
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$489.78
Median
$691.83
Typical High
$1,621.81
Univera
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$758.58
Univera
Setting
Facility
Modifier
TC · Technical part
Typical Low
$120.23
Median
$120.23
Typical High
$660.69
Univera
Setting
Professional
Modifier
None (both parts)
Typical Low
$501.19
Median
$588.84
Typical High
$812.83
Univera
Setting
Professional
Modifier
26 · Professional part
Typical Low
$60.26
Median
$79.43
Typical High
$109.65
Univera
Setting
Professional
Modifier
TC · Technical part
Typical Low
$426.58
Median
$512.86
Typical High
$707.95
4 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
Excellus BCBS
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$407.38
Median
$489.78
Typical High
$676.08
Excellus BCBS
Setting
Professional
Modifier
FY · Cassette-based X-ray
Typical Low
$467.74
Median
$562.34
Typical High
$776.25
Univera
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$457.09
Median
$489.78
Typical High
$724.44
Univera
Setting
Professional
Modifier
FY · Cassette-based X-ray
Typical Low
$524.81
Median
$562.34
Typical High
$831.76

Where New York sits

The same service costs 5.0 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.

New York· 44th of 51

$676

AK $2,630TX $525

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.