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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 July 2026.

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

$75.86

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $75.86 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 6 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$61.66 to $66.07
FacilityA hospital or hospital-owned outpatient department$75.86$75.86 to $75.86

How much rates vary

Facilitymedian $76 · 10th to 90th $72 to $129Professionalmedian $62 · 10th to 90th $24 to $115
$20.0$50.0$100.0$200.0$500.0facility $76professional $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
$87.10
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$114.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$75.86
Typical High
$75.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$104.71
CareSource
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$85.11
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$346.74
Typical High
$346.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$64.57
Typical High
$66.07

Where Kentucky 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.

Kentucky $75.86 · 6th 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.