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Technetium Tc-99m Pyrophosphate, Diagnostic

Florida 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?

$63.10

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $63.10 from a physician practice, and about $69.18 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$61.66 to $66.07
FacilityA hospital or hospital-owned outpatient department$69.18$61.66 to $102

How much rates vary

Facilitymedian $69 · 10th to 90th $26 to $339Professionalmedian $63 · 10th to 90th $52 to $68
$10.0$50.0$200.0$1.0Kfacility $69professional $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
$26.92
Median
$69.18
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$63.10
Typical High
$70.79
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$48.98
Typical High
$75.86
AvMed
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$66.07
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$97.72
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$25.70
Typical High
$25.70
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$24.55
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$74.13
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$66.07
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$20.42
Typical High
$20.42

Where Florida 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.

Florida $63.10 · 47th 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.