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Technetium Tc-99m Mebrofenin, Diagnostic

Illinois 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?

$74.13

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $214 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 5 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$54.95$53.70 to $60.26
FacilityA hospital or hospital-owned outpatient department$214$74.13 to $263

How much rates vary

Facilitymedian $214 · 10th to 90th $54 to $324Professionalmedian $55 · 10th to 90th $10 to $87
$1.0$10.0$100.0$1.0Kfacility $214professional $55

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
$213.80
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$54.95
Typical High
$87.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$524.81
Typical High
$954.99
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$9.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$104.71
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$97.72
Typical High
$147.91
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$186.21
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$95.50

Where Illinois 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.

Illinois $74.13 · 13th 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.