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Technetium Tc-99m Mebrofenin, Diagnostic

North Carolina 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?

$77.62

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $56.23 from a physician practice, and about $91.20 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 $56.23
FacilityA hospital or hospital-owned outpatient department$91.20$67.61 to $155

How much rates vary

Facilitymedian $91 · 10th to 90th $56 to $275Professionalmedian $56 · 10th to 90th $39 to $60
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $91professional $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
$93.33
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$60.26
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$63.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$51.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$85.11
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Medcost
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$58.88
Typical High
$89.13
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$186.21
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$74.13
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00

Where North Carolina 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.

North Carolina $77.62 · 12th 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.