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Technetium Tc-99m Mebrofenin, Diagnostic

Missouri 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?

$61.66

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $56.23 from a physician practice, and about $69.18 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 5 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 $66.07
FacilityA hospital or hospital-owned outpatient department$69.18$53.70 to $148

How much rates vary

Facilitymedian $69 · 10th to 90th $48 to $224Professionalmedian $56 · 10th to 90th $50 to $93
$50.0$100.0$200.0$500.0facility $69professional $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
$47.86
Median
$66.07
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$123.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$158.49
Typical High
$208.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$53.70
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$93.33
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$79.43
Typical High
$251.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$56.23
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$151.36
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$56.23
Typical High
$81.28

Where Missouri 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.

Missouri $61.66 · 30th 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.