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Technetium Tc-99m Tetrofosmin, Diagnostic

Montana rates for HCPCS A9502

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

Rates data updated July 2026.

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

$123

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $275 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 6 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$97.72$85.11 to $240
FacilityA hospital or hospital-owned outpatient department$275$251 to $525

How much rates vary

Facilitymedian $275 · 10th to 90th $7 to $4,169Professionalmedian $98 · 10th to 90th $85 to $282
$10$100$1K$10K$100Kfacility $275professional $98

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
$239.88
Median
$524.81
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$97.72
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$309.03
Typical High
$89,125.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$269.15
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$251.19
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$269.15
Typical High
$275.42
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$269.15
Typical High
$275.42
Providence
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$251.19
Typical High
$691.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$87.10
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11

Where Montana sits

The same service costs 2.8 times more in Wisconsin than in Minnesota. 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.

Montana· 11th of 51

$123

WI $229MN $83.18

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.