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Lutetium Lu 177 Dotatate (Lutathera), Therapeutic

North Carolina rates for HCPCS A9513

Lutetium Lu 177, dotatate, therapeutic, 1 mCi

Rates data updated July 2026.

How much does Lutathera (lutetium lu 177 dotatate) cost?

$339

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $331 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 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$331$282 to $347
FacilityA hospital or hospital-owned outpatient department$479$295 to $631

How much rates vary

Facilitymedian $479 · 10th to 90th $282 to $891Professionalmedian $331 · 10th to 90th $282 to $347
$500$1Kfacility $479professional $331

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
$281.84
Median
$281.84
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$338.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$630.96
Typical High
$851.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$363.08
Medcost
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$323.59
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$524.81
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$338.84
Typical High
$338.84
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70

Where North Carolina sits

The same service costs 1.7 times more in Alaska than in New York. 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.

North Carolina· 28th of 51

$339

AK $537NY $324

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.