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Technetium Tc-99m Sestamibi, Diagnostic

New Jersey 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?

$110

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $110 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$110$107 to $151
FacilityA hospital or hospital-owned outpatient department$110$60.26 to $282

How much rates vary

Facilitymedian $110 · 10th to 90th $37 to $912Professionalmedian $110 · 10th to 90th $85 to $191
$50$200$1K$5Kfacility $110professional $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
$36.31
Median
$109.65
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$109.65
Typical High
$169.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$134.90
Typical High
$245.47
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$1,621.81
Typical High
$12,882.50
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$114.82
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$3,548.13
Typical High
$13,803.84
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$446.68
Typical High
$446.68

Where New Jersey 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.

New Jersey· 49th of 51

$110

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.