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Technetium Tc-99m Pyrophosphate, Diagnostic

Iowa 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?

$77.62

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $77.62 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$77.62$61.66 to $79.43
FacilityA hospital or hospital-owned outpatient department$77.62$77.62 to $77.62

How much rates vary

Facilitymedian $78 · 10th to 90th $62 to $91Professionalmedian $78 · 10th to 90th $40 to $83
$0.1$1.0$10.0$100.0facility $78professional $78

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
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$77.62
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$39.81
Typical High
$57.54
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$87.10
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$77.62
Typical High
$104.71
Medica
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$64.57
Typical High
$112.20
Midlands
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$58.88
Typical High
$91.20
Midlands
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$63.10
Typical High
$63.10
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$144.54
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$0.06
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$85.11
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$17.38
Typical High
$17.38

Where Iowa 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.

Iowa $77.62 · 3rd 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.