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Technetium Tc-99m Mebrofenin, Diagnostic

Massachusetts 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?

$56.23

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $56.23 from a physician practice, and about $123 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$56.23$56.23 to $58.88
FacilityA hospital or hospital-owned outpatient department$123$75.86 to $186

How much rates vary

Facilitymedian $123 · 10th to 90th $58 to $245Professionalmedian $56 · 10th to 90th $56 to $95
$50$100$200$500$1K$2Kfacility $123professional $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
$81.28
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$72.44
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$199.53
Typical High
$223.87
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$67.61
Typical High
$169.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$151.36
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$117.49
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$93.33
Typical High
$5,888.44
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$91.20
Typical High
$128.82
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$91.20
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$199.53
Typical High
$223.87
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$67.61
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$245.47
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$95.50

Where Massachusetts sits

The same service costs 4.3 times more in West Virginia than in Washington, DC. 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.

Massachusetts· 46th of 51

$56.23

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.