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Technetium Tc-99m Pyrophosphate, Diagnostic

Georgia 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 Georgia, 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 $64.57 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$63.10$15.49 to $64.57
FacilityA hospital or hospital-owned outpatient department$64.57$63.10 to $324

How much rates vary

Facilitymedian $65 · 10th to 90th $63 to $501Professionalmedian $63 · 10th to 90th $14 to $72
$5.0$20.0$100.0$500.0facility $65professional $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
$50.12
Median
$63.10
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$63.10
Typical High
$77.62
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$323.59
Typical High
$354.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$74.13
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$114.82
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$77.62
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$81.28

Where Georgia 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.

Georgia $63.10 · 41st 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.