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Technetium Tc-99m Mebrofenin, Diagnostic

Indiana 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?

$112

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $56.23 from a physician practice, and about $148 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$56.23$53.70 to $479
FacilityA hospital or hospital-owned outpatient department$148$85.11 to $269

How much rates vary

Facilitymedian $148 · 10th to 90th $66 to $407Professionalmedian $56 · 10th to 90th $54 to $562
$50.0$100.0$200.0$500.0$1.0Kfacility $148professional $56

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
$66.07
Median
$204.17
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$63.10
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$309.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$85.11
Typical High
$154.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$478.63
Typical High
$724.44
CareSource
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$57.54
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$154.88
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$95.50

Where Indiana 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.

Indiana $112 · 4th 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.