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Technetium Tc-99m Pyrophosphate, Diagnostic

Indiana 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?

$87.10

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $95.50 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$66.07$61.66 to $105
FacilityA hospital or hospital-owned outpatient department$95.50$74.13 to $129

How much rates vary

Facilitymedian $95 · 10th to 90th $62 to $912Professionalmedian $66 · 10th to 90th $24 to $132
$20$50$100$200$500$1K$2Kfacility $95professional $66

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
$74.13
Typical High
$91.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$63.10
Ambetter
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$95.50
Typical High
$128.82
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$104.71
Typical High
$141.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$177.83
Typical High
$177.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$177.83
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$912.01
Typical High
$2,137.96
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$58.88
Typical High
$165.96
United
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$128.82

Where Indiana 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.

Indiana· 2nd of 51

$87.10

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.