go back

Technetium Tc-99m Pyrophosphate, Diagnostic

South Dakota 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?

$64.57

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $186 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$58.88$31.62 to $66.07
FacilityA hospital or hospital-owned outpatient department$186$81.28 to $186

How much rates vary

Facilitymedian $186 · 10th to 90th $78 to $186Professionalmedian $59 · 10th to 90th $16 to $78
$20.0$50.0$100.0$200.0facility $186professional $59

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
$77.62
Median
$186.21
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$66.07
Typical High
$77.62
Avera
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$79.43
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$39.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$100.00
Typical High
$190.55
Medica
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$72.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$74.13
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38

Where South Dakota sits

The same service costs 6.0 times more in Alaska than in Minnesota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $64.57 · 37th of 51
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.