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Technetium Tc-99m Pyrophosphate, Diagnostic

Rhode Island 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 Rhode Island, October 2026.

Insurers have agreed to pay about $66.07 for this service. Most negotiated rates run $66.07 to $69.18.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $68 · 10th to 90th $66 to $87Professionalmedian $66 · 10th to 90th $65 to $69
$100facility $68professional $66

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$67.61
Typical High
$72.44
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$85.11
Typical High
$125.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
United
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$77.62

Where Rhode Island 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.

Rhode Island· 12th 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.