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Technetium Tc-99m Pyrophosphate, Diagnostic

Colorado rates for HCPCS A9538

Technetium Tc-99m pyrophosphate, diagnostic, per study dose, up to 25 mCi

Rates data updated July 2026.

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

$72.44

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $115 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$61.66$61.66 to $64.57
FacilityA hospital or hospital-owned outpatient department$115$91.20 to $148

How much rates vary

Facilitymedian $115 · 10th to 90th $62 to $234Professionalmedian $62 · 10th to 90th $62 to $66
$20.0$50.0$100.0$200.0facility $115professional $62

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
$61.66
Median
$61.66
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$66.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$125.89
Typical High
$239.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$66.07
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$114.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Select Health
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
Select Health
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$77.62
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where Colorado sits

The same service costs 6.0 times more in Alaska than in Minnesota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Colorado $72.44 · 7th of 51
AK $105MN $17.38

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.