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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 October 2026.

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

$56.23

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $112 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$54.95$9.55 to $56.23
FacilityA hospital or hospital-owned outpatient department$112$74.13 to $407

How much rates vary

Facilitymedian $112 · 10th to 90th $54 to $646Professionalmedian $55 · 10th to 90th $10 to $83
$10$20$50$100$200$500$1Kfacility $112professional $55

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$63.10
Typical High
$91.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$60.26
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$501.19
Typical High
$977.24
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$9.55
Typical High
$9.55
Cigna
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$112.20
Typical High
$134.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Hally Health
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$83.18
Typical High
$138.04
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
United
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$87.10

Where Illinois sits

The same service costs 1.7 times more in Nebraska than in Maryland. 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.

Illinois· 35th of 51

$56.23

NE $93.33MD $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.