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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 October 2026.

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

$64.57

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $85.11 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$56.23 to $67.61
FacilityA hospital or hospital-owned outpatient department$85.11$63.10 to $93.33

How much rates vary

Facilitymedian $85 · 10th to 90th $50 to $110Professionalmedian $65 · 10th to 90th $44 to $79
$50$100$200facility $85professional $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
Professional
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$70.79
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$117.49
Typical High
$208.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$77.62
Typical High
$229.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$70.79
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$85.11
Typical High
$93.33
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$56.23
Typical High
$91.20
Providence
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$77.62
Typical High
$229.09
Providence
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$60.26
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where Montana 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.

Montana· 35th of 51

$64.57

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.