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Unlisted Diagnostic Nuclear Medicine Test

California rates for HCPCS 78999

Covers a diagnostic nuclear medicine study — where a small amount of radioactive tracer is given and a special camera or counter measures where it collects — that has no standard named entry of its own. A written description of the study is submitted so it can be reviewed and priced individually. It is used when the test performed does not match any established description.

Rates data updated July 2026.

How much does Unlisted Diagnostic Nuclear Medicine Test cost?

$1,000

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $1,000 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $1,000 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$398$50.12 to $1,698
FacilityA hospital or hospital-owned outpatient department$1,000$182 to $1,820

How much rates vary

Facilitymedian $1,000 · 10th to 90th $58 to $2,138Professionalmedian $398 · 10th to 90th $50 to $1,820
$20.0$100.0$500.0$2.0K$10.0Kfacility $1,000professional $398

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$1,288.25
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$57.54
Typical High
$58.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$416.87
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,412.54
Typical High
$2,884.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,288.25
Typical High
$1,819.70
Providence
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,412.54
Typical High
$2,884.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$776.25
Typical High
$1,000.00

Where California sits

The same service costs 2089.3 times more in Kentucky than in South Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $1,000 · 11th of 49
KY $75,858SD $36.31

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.