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Iodine I-123 Sodium Iodide, Diagnostic

New Hampshire 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?

$107

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $155 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$107 to $107
FacilityA hospital or hospital-owned outpatient department$155$107 to $178

How much rates vary

Facilitymedian $155 · 10th to 90th $98 to $380Professionalmedian $107 · 10th to 90th $107 to $191
$100$200facility $155professional $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
$87.10
Median
$107.15
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$128.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$223.87
Typical High
$389.05
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$213.80
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$165.96
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$112.20
Typical High
$151.36

Where New Hampshire 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.

New Hampshire· 42nd of 51

$107

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.