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Technetium Tc-99m Pyrophosphate, Diagnostic

Kansas 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?

$64.57

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $61.66 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$64.57$61.66 to $77.62
FacilityA hospital or hospital-owned outpatient department$61.66$45.71 to $77.62

How much rates vary

Facilitymedian $62 · 10th to 90th $18 to $98Professionalmedian $65 · 10th to 90th $62 to $78
$20$50$100$200facility $62professional $65

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
$18.20
Median
$61.66
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$77.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$74.13
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$77.62
Typical High
$97.72
Medica
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$77.62

Where Kansas sits

The same service costs 6.0 times more in Alaska than in Minnesota. 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.

Kansas· 32nd of 51

$64.57

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.