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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 October 2026.

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

$61.66

Typical negotiated rate. In Illinois, October 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 $132 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$61.66$19.05 to $66.07
FacilityA hospital or hospital-owned outpatient department$132$91.20 to $363

How much rates vary

Facilitymedian $132 · 10th to 90th $62 to $676Professionalmedian $62 · 10th to 90th $19 to $68
$20$50$100$200$500$1Kfacility $132professional $62

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
$61.66
Median
$85.11
Typical High
$104.71
Aetna
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$66.07
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$501.19
Typical High
$1,096.48
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$19.05
Typical High
$20.42
Cigna
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$131.83
Typical High
$158.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Hally Health
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$38.02
Typical High
$107.15
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
United
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$72.44

Where Illinois 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.

Illinois· 49th of 51

$61.66

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.