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Technetium Tc-99m Mebrofenin, Diagnostic

Michigan 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 Michigan, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $83.18 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$54.95$53.70 to $56.23
FacilityA hospital or hospital-owned outpatient department$83.18$54.95 to $132

How much rates vary

Facilitymedian $83 · 10th to 90th $36 to $257Professionalmedian $55 · 10th to 90th $46 to $69
$10.0$100.0$1.0Kfacility $83professional $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
$36.31
Median
$83.18
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$53.70
Typical High
$56.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$109.65
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$69.18
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$52.48
Typical High
$56.23
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$13.80
Typical High
$60.26
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$112.20
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$75.86

Where Michigan 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.

Michigan $66.07 · 22nd 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.