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Technetium Tc-99m Exametazime, Diagnostic

New Hampshire 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?

$1,738

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,738 from a physician practice, and about $2,570 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$1,738$1,738 to $1,738
FacilityA hospital or hospital-owned outpatient department$2,570$1,738 to $3,631

How much rates vary

Facilitymedian $2,570 · 10th to 90th $1,738 to $6,310Professionalmedian $1,738 · 10th to 90th $1,738 to $3,020
$1K$2K$5Kfacility $2,570professional $1,738

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
$1,737.80
Median
$1,737.80
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$2,089.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,548.13
Typical High
$6,309.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,737.80
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,467.37
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,698.24
Typical High
$1,737.80
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$831.76
Typical High
$1,122.02

Where New Hampshire 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.

New Hampshire· 30th of 51

$1,738

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.