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Technetium Tc-99m Pyrophosphate, Diagnostic

Kentucky 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 Kentucky, October 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $63.10 from a physician practice, and about $75.86 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$63.10$23.99 to $105
FacilityA hospital or hospital-owned outpatient department$75.86$72.44 to $75.86

How much rates vary

Facilitymedian $76 · 10th to 90th $62 to $91Professionalmedian $63 · 10th to 90th $20 to $105
$20$50$100$200facility $76professional $63

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
$61.66
Typical High
$91.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$63.10
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$75.86
Typical High
$75.86
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$23.99
Typical High
$104.71
CareSource
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$85.11
Typical High
$229.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$346.74
Typical High
$346.74
Molina
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where Kentucky 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.

Kentucky· 30th 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.