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Technetium Tc-99m Pyrophosphate, Diagnostic

New York 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 New York, 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 $16.22 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$64.57$52.48 to $66.07
FacilityA hospital or hospital-owned outpatient department$16.22$16.22 to $53.70

How much rates vary

Facilitymedian $16 · 10th to 90th $16 to $98Professionalmedian $65 · 10th to 90th $16 to $71
$20$50$100$200facility $16professional $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
$52.48
Median
$61.66
Typical High
$63.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$66.07
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$67.61
CDPHP
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Cigna
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$97.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$16.22
Median
$72.44
Typical High
$165.96
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$16.22
Typical High
$16.22
Excellus BCBS
Setting
Facility
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Excellus BCBS
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$77.62
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$67.61
Typical High
$95.50
Univera
Setting
Facility
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$19.50
Univera
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$16.22

Where New York 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 York· 37th 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.