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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 October 2026.

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

$64.57

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $64.57 for this service. Most negotiated rates run $58.88 to $77.62.

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.

How much rates vary

Facilitymedian $78 · 10th to 90th $28 to $78Professionalmedian $65 · 10th to 90th $21 to $100
$20$50$100$200facility $78professional $65

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$77.62
Typical High
$77.62
Cigna
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$39.81
Typical High
$95.50
Hally Health
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$50.12
Typical High
$151.36
Medica
Setting
Facility
Modifier
None
Typical Low
$27.54
Median
$58.88
Typical High
$91.20
Medica
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$64.57
Typical High
$114.82
Midlands
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$60.26
Typical High
$95.50
Midlands
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$21.38
Typical High
$63.10
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$144.54
Typical High
$169.82
United
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$70.79
Wellmark
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$17.38
Typical High
$17.38

Where Iowa sits

The same service costs 2.8 times more in Alaska than in Georgia. 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.

Iowa· 34th of 51

$64.57

AK $97.72GA $34.67

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.