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Technetium Tc-99m Pyrophosphate, Diagnostic

North Carolina 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 North Carolina, 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 $74.13 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 7 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$63.10 to $66.07
FacilityA hospital or hospital-owned outpatient department$74.13$54.95 to $102

How much rates vary

Facilitymedian $74 · 10th to 90th $40 to $170Professionalmedian $66 · 10th to 90th $28 to $71
$20.0$50.0$100.0$200.0facility $74professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$72.44
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$66.07
Typical High
$70.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$27.54
Typical High
$29.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Medcost
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$66.07
Typical High
$97.72
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
United
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$74.13
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$64.57
Typical High
$66.07
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74

Where North Carolina 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.

North Carolina $66.07 · 15th 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.