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Technetium Tc-99m Teboroxime, Diagnostic

California rates for HCPCS A9501

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

Rates data updated July 2026.

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

$120

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $479 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$120$77.62 to $120
FacilityA hospital or hospital-owned outpatient department$479$120 to $603

How much rates vary

Facilitymedian $479 · 10th to 90th $120 to $1,000Professionalmedian $120 · 10th to 90th $78 to $151
$100$200$500$1Kfacility $479professional $120

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
$120.23
Median
$562.34
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$120.23
Typical High
$120.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$323.59
Typical High
$398.11
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$218.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$120.23
Typical High
$169.82
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$109.65
Typical High
$38,018.94

Where California sits

The same service costs 5.1 times more in New York than in Georgia. 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.

California· 8th of 51

$120

NY $288GA $56.23

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.