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Technetium Tc-99m Tetrofosmin, Diagnostic

South Dakota 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?

$158

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $240 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$158$97.72 to $191
FacilityA hospital or hospital-owned outpatient department$240$117 to $257

How much rates vary

Facilitymedian $240 · 10th to 90th $102 to $288Professionalmedian $158 · 10th to 90th $85 to $229
$100$200$500$1Kfacility $240professional $158

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
$112.20
Median
$239.88
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$165.96
Typical High
$234.42
Avera
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$104.71
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$158.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$154.88
Typical High
$933.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$97.72
Midlands
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$104.71
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72

Where South Dakota 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.

South Dakota· 2nd of 51

$158

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.