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Unclassified Diagnostic Radiopharmaceutical

Pennsylvania rates for HCPCS A4641

Radiopharmaceutical, diagnostic, not otherwise classified

Rates data updated October 2026.

How much does Unclassified Diagnostic Radiopharmaceutical cost?

$91.20

Typical negotiated rate. In Pennsylvania, October 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 $316 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$91.20$61.66 to $91.20
FacilityA hospital or hospital-owned outpatient department$316$67.61 to $513

How much rates vary

Facilitymedian $316 · 10th to 90th $59 to $5,012Professionalmedian $91 · 10th to 90th $59 to $91
$100$1K$10K$100Kfacility $316professional $91

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
Professional
Modifier
None
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$1,380.38
Typical High
$1,445.44
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$275.42
Typical High
$478.63
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$61.66
Typical High
$61.66
United
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$42.66
Typical High
$42.66

Where Pennsylvania sits

The same service costs 35481.3 times more in Michigan than in South Carolina. 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· 36th of 51

$91.20

MI $1,862,087SC $52.48

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.