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Technetium Tc-99m Pyrophosphate, Diagnostic

Montana 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 Montana, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $63.10 from a physician practice, and about $77.62 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$63.10$63.10 to $70.79
FacilityA hospital or hospital-owned outpatient department$77.62$77.62 to $120

How much rates vary

Facilitymedian $78 · 10th to 90th $1 to $64,565Professionalmedian $63 · 10th to 90th $55 to $78
$1.0$10.0$100.0$1.0K$10.0K$100.0Kfacility $78professional $63

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
$162.18
Median
$162.18
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$63.10
Typical High
$70.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$208.93
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$91.20
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$70.79
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$77.62
Typical High
$77.62
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$77.62
Typical High
$77.62
Providence
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$77.62
Typical High
$229.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$70.79
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where Montana 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.

Montana $66.07 · 29th 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.