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Iodine I-123 Sodium Iodide, Diagnostic

North Carolina 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?

$100

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $93.33 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$105$91.20 to $107
FacilityA hospital or hospital-owned outpatient department$93.33$57.54 to $141

How much rates vary

Facilitymedian $93 · 10th to 90th $40 to $209Professionalmedian $105 · 10th to 90th $85 to $112
$50$100$200$500facility $93professional $105

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
$39.81
Median
$93.33
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$104.71
Typical High
$107.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$162.18
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$104.71
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$165.96
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$141.25
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44

Where North Carolina 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.

North Carolina· 50th of 51

$100

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.