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Technetium Tc-99m Mebrofenin, Diagnostic

Virginia 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 Virginia, 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 $63.10 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$56.23$53.70 to $56.23
FacilityA hospital or hospital-owned outpatient department$63.10$56.23 to $85.11

How much rates vary

Facilitymedian $63 · 10th to 90th $56 to $105Professionalmedian $56 · 10th to 90th $54 to $65
$10$20$50$100facility $63professional $56

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$91.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$56.23
Typical High
$56.23
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$67.61
CareFirst
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Cigna
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$100.00
Typical High
$141.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$63.10
Typical High
$102.33
Medcost
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$85.11
Medcost
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Sentara
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$58.88
Typical High
$74.13
Sentara
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$66.07
United
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$56.23
Typical High
$72.44

Where Virginia 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.

Virginia· 45th 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.