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Technetium Tc-99m Mebrofenin, Diagnostic

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $54.95 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 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$91.20$54.95 to $117

How much rates vary

Facilitymedian $91 · 10th to 90th $29 to $437Professionalmedian $55 · 10th to 90th $8 to $56
$10.0$100.0$1.0K$10.0Kfacility $91professional $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
$30.20
Median
$91.20
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$54.95
Typical High
$56.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.71
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$67.61
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$10,471.29
Typical High
$15,488.17
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$56.23
Typical High
$60.26

Where New Jersey 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.

New Jersey $56.23 · 43rd 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.