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Technetium Tc-99m Pyrophosphate, Diagnostic

Tennessee 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?

$63.10

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $63.10 from a physician practice, and about $112 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 5 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$63.10$63.10 to $66.07
FacilityA hospital or hospital-owned outpatient department$112$63.10 to $151

How much rates vary

Facilitymedian $112 · 10th to 90th $63 to $151Professionalmedian $63 · 10th to 90th $63 to $68
$50.0$100.0$200.0facility $112professional $63

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
$60.26
Median
$125.89
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$66.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$74.13
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$95.50
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where Tennessee 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.

Tennessee $63.10 · 42nd 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.