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Technetium Tc-99m Pyrophosphate, Diagnostic

Illinois 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?

$61.66

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $91.20 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$61.66$19.05 to $64.57
FacilityA hospital or hospital-owned outpatient department$91.20$74.13 to $158

How much rates vary

Facilitymedian $91 · 10th to 90th $62 to $275Professionalmedian $62 · 10th to 90th $19 to $72
$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $91professional $62

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
$85.11
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$61.66
Typical High
$70.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$467.74
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$123.03
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$72.44
Typical High
$120.23
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$74.13
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$72.44

Where Illinois 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.

Illinois $61.66 · 48th 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.