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Technetium Tc-99m Exametazime, Diagnostic

Montana rates for HCPCS A9521

Technetium Tc-99m exametazime, diagnostic, per study dose, up to 25 mCi

Rates data updated July 2026.

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

$2,455

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $2,455 for this service. The price depends on where it is billed: about $1,698 from a physician practice, and about $2,754 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$1,698$1,698 to $2,754
FacilityA hospital or hospital-owned outpatient department$2,754$2,754 to $4,365

How much rates vary

Facilitymedian $2,754 · 10th to 90th $49 to $66,069Professionalmedian $1,698 · 10th to 90th $49 to $2,754
$100$1K$10K$100Kfacility $2,754professional $1,698

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
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,698.24
Typical High
$1,698.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$5,623.41
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$3,715.35
Typical High
$9,549.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$2,511.89
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$2,754.23
Typical High
$2,754.23
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$2,754.23
Typical High
$2,754.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,570.40
Typical High
$9,549.93
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,584.89
Typical High
$3,090.30
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24

Where Montana sits

The same service costs 12.0 times more in Alaska than in Minnesota. 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

$2,455

AK $2,754MN $229

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.