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Technetium Tc-99m Mebrofenin, Diagnostic

New York rates for HCPCS A9537

Technetium Tc-99m mebrofenin, diagnostic, per study dose, up to 15 mCi

Rates data updated October 2026.

How much does Technetium Tc-99m Mebrofenin, Diagnostic cost?

$56.23

Typical negotiated rate. In New York, October 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 $46.77 from a hospital or other facility.

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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$56.23$47.86 to $56.23
FacilityA hospital or hospital-owned outpatient department$46.77$8.51 to $60.26

How much rates vary

Facilitymedian $47 · 10th to 90th $9 to $98Professionalmedian $56 · 10th to 90th $9 to $63
$10$20$50$100$200facility $47professional $56

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$53.70
Typical High
$53.70
Aetna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$56.23
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$63.10
CDPHP
Setting
Professional
Modifier
None
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$60.26
Typical High
$85.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$67.61
Typical High
$134.90
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$56.23
Typical High
$56.23
Excellus BCBS
Setting
Facility
Modifier
None
Typical Low
$8.13
Median
$8.51
Typical High
$8.51
Excellus BCBS
Setting
Professional
Modifier
None
Typical Low
$8.13
Median
$8.51
Typical High
$8.51
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$63.10
Typical High
$218.78
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
United
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$60.26
Typical High
$87.10
Univera
Setting
Facility
Modifier
None
Typical Low
$8.13
Median
$8.51
Typical High
$46.77
Univera
Setting
Professional
Modifier
None
Typical Low
$8.13
Median
$8.51
Typical High
$8.51

Where New York sits

The same service costs 1.7 times more in Nebraska than in Maryland. 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.

New York· 39th of 51

$56.23

NE $93.33MD $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.