go back

Technetium Tc-99m Pyrophosphate, Diagnostic

South 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 South Carolina, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $138 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 6 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 $66.07
FacilityA hospital or hospital-owned outpatient department$138$74.13 to $363

How much rates vary

Facilitymedian $138 · 10th to 90th $63 to $12,023Professionalmedian $65 · 10th to 90th $60 to $66
$20$100$500$2K$10Kfacility $138professional $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
$63.10
Median
$257.04
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$66.07
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$22.91
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$114.82
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Medcost
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$77.62
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$69.18

Where South Carolina 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.

South Carolina· 22nd of 51

$66.07

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.