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Technetium Tc-99m Mebrofenin, Diagnostic

Iowa rates for HCPCS A9537

Technetium Tc-99m mebrofenin, diagnostic, per study dose, up to 15 mCi

Rates data updated July 2026.

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

$66.07

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $85.11 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 8 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$66.07$56.23 to $126
FacilityA hospital or hospital-owned outpatient department$85.11$66.07 to $209

How much rates vary

Facilitymedian $85 · 10th to 90th $54 to $302Professionalmedian $66 · 10th to 90th $54 to $138
$0.1$1.0$10.0$100.0$1.0Kfacility $85professional $66

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
$53.70
Median
$74.13
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$66.07
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$70.79
Typical High
$87.10
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$112.20
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$83.18
Typical High
$131.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$131.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$83.18
Typical High
$131.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$91.20
Typical High
$91.20
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$181.97
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$0.06
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$72.44
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$8.13
Typical High
$8.13

Where Iowa sits

The same service costs 4.3 times more in West Virginia than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $66.07 · 17th of 51
WV $240DC $56.23

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.