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Technetium Tc-99m Pyrophosphate, Diagnostic

Maine 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?

$66.07

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $1,288 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$66.07$66.07 to $66.07
FacilityA hospital or hospital-owned outpatient department$1,288$200 to $1,288

How much rates vary

Facilitymedian $1,288 · 10th to 90th $74 to $1,288Professionalmedian $66 · 10th to 90th $65 to $71
$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $1,288professional $66

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$1,288.25
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$66.07
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$77.62
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$66.07
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$66.07
Typical High
$89.13

Where Maine 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.

Maine $66.07 · 14th 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.