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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 October 2026.

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

$63.10

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $54.95 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$64.57$51.29 to $67.61
FacilityA hospital or hospital-owned outpatient department$54.95$38.02 to $81.28

How much rates vary

Facilitymedian $55 · 10th to 90th $35 to $138Professionalmedian $65 · 10th to 90th $35 to $89
$20$50$100$200facility $55professional $65

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
$114.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$70.79
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$51.29
Typical High
$89.13
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$34.67
Typical High
$34.67
Cigna
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$66.07
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$17.38
Median
$87.10
Typical High
$199.53
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$67.61
Typical High
$95.50
Priority Health
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$66.07
United
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$77.62

Where Michigan 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.

Michigan· 48th of 51

$63.10

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.