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Technetium Tc-99m Pyrophosphate, Diagnostic

Michigan 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?

$61.66

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $87.10 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$51.29 to $64.57
FacilityA hospital or hospital-owned outpatient department$87.10$61.66 to $87.10

How much rates vary

Facilitymedian $87 · 10th to 90th $52 to $155Professionalmedian $62 · 10th to 90th $35 to $68
$20.0$50.0$100.0$200.0facility $87professional $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
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$61.66
Typical High
$66.07
BCBS
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$53.70
Typical High
$93.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$34.67
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$66.07
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$57.54
Typical High
$199.53
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$67.61
Typical High
$93.33
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
United
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$74.13
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$72.44

Where Michigan 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.

Michigan $61.66 · 49th 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.