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Unclassified Diagnostic Radiopharmaceutical

Pennsylvania rates for HCPCS A4641

Radiopharmaceutical, diagnostic, not otherwise classified

Rates data updated July 2026.

How much does Unclassified Diagnostic Radiopharmaceutical cost?

$91.20

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $263 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 8 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$91.20$13.18 to $91.20
FacilityA hospital or hospital-owned outpatient department$263$63.10 to $417

How much rates vary

Facilitymedian $263 · 10th to 90th $60 to $1,259Professionalmedian $91 · 10th to 90th $13 to $100,000
$100$1K$10K$100Kfacility $263professional $91

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
Global
Typical Low
$60.26
Median
$63.10
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$100,000.00
Median
$100,000.00
Typical High
$100,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$38,018.94
Median
$38,018.94
Typical High
$38,018.94
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$1,380.38
Typical High
$1,380.38
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$85.11
Typical High
$1,318.26
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$309.03
Typical High
$501.19
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$44.67
Typical High
$38,018.94

Where Pennsylvania sits

The same service costs 89125093.8 times more in Michigan than in Indiana. 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.

Pennsylvania· 27th of 51

$91.20

MI $1,778,279IN $0.02

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.