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Technetium Tc-99m Pyrophosphate, Diagnostic

Connecticut 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?

$66.07

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $105 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 5 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$66.07$52.48 to $66.07
FacilityA hospital or hospital-owned outpatient department$105$79.43 to $151

How much rates vary

Facilitymedian $105 · 10th to 90th $74 to $158Professionalmedian $66 · 10th to 90th $52 to $72
$20$50$100$200facility $105professional $66

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
$79.43
Median
$147.91
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$66.07
Typical High
$79.43
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$100.00
Typical High
$151.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$64.57
Typical High
$64.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
United
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$64.57
Typical High
$70.79

Where Connecticut sits

The same service costs 6.0 times more in Alaska than in Minnesota. 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.

Connecticut· 17th of 51

$66.07

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.