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Iodine I-123 Sodium Iodide, Diagnostic

Montana rates for HCPCS A9516

Iodine I-123 sodium iodide, diagnostic, per 100 mcCi, up to 999 mcCi

Rates data updated July 2026.

How much does Iodine I-123 Sodium Iodide, Diagnostic cost?

$195

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $200 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$107$105 to $457
FacilityA hospital or hospital-owned outpatient department$200$195 to $331

How much rates vary

Facilitymedian $200 · 10th to 90th $6 to $66,069Professionalmedian $107 · 10th to 90th $105 to $479
$10$100$1K$10K$100Kfacility $200professional $107

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
$323.59
Median
$331.13
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$426.58
Typical High
$489.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$269.15
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$181.97
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$194.98
Typical High
$199.53
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$194.98
Typical High
$199.53
Providence
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$186.21
Typical High
$691.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$107.15
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15

Where Montana sits

The same service costs 7.8 times more in West Virginia than in Hawaii. 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· 2nd of 51

$195

WV $282HI $36.31

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.