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Technetium Tc-99m Sestamibi, Diagnostic

Virginia 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?

$115

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $182 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 $112
FacilityA hospital or hospital-owned outpatient department$182$110 to $427

How much rates vary

Facilitymedian $182 · 10th to 90th $87 to $741Professionalmedian $110 · 10th to 90th $76 to $166
$100$200$500$1Kfacility $182professional $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
$87.10
Median
$186.21
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$109.65
Typical High
$134.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$104.71
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$223.87
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$177.83
Typical High
$407.38
Medcost
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$120.23
Typical High
$190.55
Sentara
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$123.03
Typical High
$154.88
Sentara
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$123.03
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$741.31
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$446.68
Typical High
$478.63

Where Virginia 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.

Virginia· 36th of 51

$115

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.