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Technetium Tc-99m Mebrofenin, Diagnostic

South Dakota 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?

$174

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $63.10 from a physician practice, and about $174 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$63.10$56.23 to $69.18
FacilityA hospital or hospital-owned outpatient department$174$174 to $191

How much rates vary

Facilitymedian $174 · 10th to 90th $105 to $195Professionalmedian $63 · 10th to 90th $8 to $87
$10.0$50.0$200.0$1.0Kfacility $174professional $63

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
$104.71
Median
$186.21
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$125.89
Avera
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$87.10
Medica
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$100.00
Typical High
$169.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$56.23
Typical High
$63.10
Midlands
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$64.57
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.13

Where South Dakota 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.

South Dakota $174 · 2nd 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.