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Technetium Tc-99m Pyrophosphate, Diagnostic

New Jersey 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?

$66.07

Typical negotiated rate. In New Jersey, October 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 $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$66.07$16.22 to $66.07
FacilityA hospital or hospital-owned outpatient department$85.11$64.57 to $6,457

How much rates vary

Facilitymedian $85 · 10th to 90th $16 to $15,488Professionalmedian $66 · 10th to 90th $16 to $66
$100$1K$10Kfacility $85professional $66

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
$64.57
Median
$64.57
Typical High
$66.07
Aetna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$66.07
Typical High
$66.07
AmeriHealth
Setting
Facility
Modifier
None
Typical Low
$16.22
Median
$26.30
Typical High
$831.76
Cigna
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$97.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$16.22
Typical High
$16.22
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$15.85
Median
$13,489.63
Typical High
$19,498.45
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
United
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$72.44

Where New Jersey 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.

New Jersey· 27th of 51

$66.07

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.