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Technetium Tc-99m Mebrofenin, Diagnostic

Kentucky 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 Kentucky, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $56.23 from a physician practice, and about $66.07 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 7 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 $63.10
FacilityA hospital or hospital-owned outpatient department$66.07$66.07 to $141

How much rates vary

Facilitymedian $66 · 10th to 90th $65 to $302Professionalmedian $56 · 10th to 90th $54 to $302
$50.0$100.0$200.0$500.0facility $66professional $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
$56.23
Median
$147.91
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$107.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$66.07
Typical High
$66.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$63.10
Typical High
$478.63
CareSource
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$66.07
Typical High
$89.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$58.88
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$85.11
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$302.00
Typical High
$302.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$57.54

Where Kentucky 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.

Kentucky $66.07 · 19th 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.