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Technetium Tc-99m Pyrophosphate, Diagnostic

Oregon 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?

$72.44

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $72.44 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 8 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$64.57$63.10 to $72.44
FacilityA hospital or hospital-owned outpatient department$72.44$72.44 to $72.44

How much rates vary

Facilitymedian $72 · 10th to 90th $72 to $112Professionalmedian $65 · 10th to 90th $55 to $72
$20$50$100$200facility $72professional $65

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
$72.44
Median
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$63.10
Typical High
$72.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$102.33
Typical High
$114.82
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$67.61
Typical High
$91.20
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$77.62
Typical High
$144.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$70.79
Typical High
$102.33
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$74.13

Where Oregon sits

The same service costs 6.0 times more in Alaska than in Minnesota. 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.

Oregon· 8th of 51

$72.44

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.