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Technetium Tc-99m Sestamibi, Diagnostic

Iowa rates for HCPCS A9500

Technetium Tc-99m sestamibi, diagnostic, per study dose

Rates data updated July 2026.

How much does Technetium Tc-99m Sestamibi, Diagnostic cost?

$174

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $275 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$166$107 to $355
FacilityA hospital or hospital-owned outpatient department$275$126 to $501

How much rates vary

Facilitymedian $275 · 10th to 90th $87 to $2,754Professionalmedian $166 · 10th to 90th $102 to $398
$20$100$500$2Kfacility $275professional $166

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
$81.28
Median
$218.78
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$134.90
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$186.21
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$151.36
Typical High
$549.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$173.78
Typical High
$275.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$446.68
Typical High
$616.60
Midlands
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$173.78
Typical High
$275.42
Midlands
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$190.55
Typical High
$190.55
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$5,370.32
Typical High
$7,585.78
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$371.54
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$0.45
Median
$0.45
Typical High
$741.31
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$501.19
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$251.19
Typical High
$251.19

Where Iowa sits

The same service costs 5.4 times more in Utah than in Washington, DC. 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.

Iowa· 10th of 51

$174

UT $513DC $95.50

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.