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Technetium Tc-99m Apcitide, Diagnostic

Illinois rates for HCPCS A9504

Technetium Tc-99m apcitide, diagnostic, per study dose, up to 20 mCi

Rates data updated July 2026.

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

$417

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $871 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$407$398 to $447
FacilityA hospital or hospital-owned outpatient department$871$398 to $1,549

How much rates vary

Facilitymedian $871 · 10th to 90th $398 to $4,571Professionalmedian $407 · 10th to 90th $398 to $501
$100$200$500$1K$2K$5Kfacility $871professional $407

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
$398.11
Median
$398.11
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$478.63
BCBS
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,905.46
Typical High
$6,309.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$346.74
Typical High
$707.95
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$870.96
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$537.03

Where Illinois sits

The same service costs 1.7 times more in Wisconsin than in Missouri. 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.

Illinois· 44th of 51

$417

WI $692MO $398

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.