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Technetium Tc-99m Teboroxime, Diagnostic

Utah 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 Utah, July 2026.

Insurers have agreed to pay about $120 for this service. Most negotiated rates run $120 to $120.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $120 · 10th to 90th $120 to $120Professionalmedian $120 · 10th to 90th $120 to $120
$50$100$200$500$1K$2K$5Kfacility $120professional $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
$120.23
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$60.26
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$5,128.61

Where Utah 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.

Utah· 12th 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.