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Technetium Tc-99m Sestamibi, Diagnostic

North Carolina 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?

$135

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $178 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$110$93.33 to $240
FacilityA hospital or hospital-owned outpatient department$178$112 to $257

How much rates vary

Facilitymedian $178 · 10th to 90th $66 to $363Professionalmedian $110 · 10th to 90th $72 to $427
$50$100$200$500facility $178professional $110

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
$66.07
Median
$177.83
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$109.65
Typical High
$416.87
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$125.89
Typical High
$223.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$169.82
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$114.82
Typical High
$177.83
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
United
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$741.31
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$446.68
Typical High
$457.09
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,023.29
Typical High
$1,023.29

Where North Carolina 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.

North Carolina· 16th of 51

$135

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.