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Technetium Tc-99m Pyrophosphate, Diagnostic

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $81.28 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$66.07$61.66 to $66.07
FacilityA hospital or hospital-owned outpatient department$81.28$66.07 to $132

How much rates vary

Facilitymedian $81 · 10th to 90th $66 to $219Professionalmedian $66 · 10th to 90th $62 to $79
$20$100$500$2Kfacility $81professional $66

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
$66.07
Median
$81.28
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$66.07
Typical High
$77.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$102.33
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$128.82
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$64.57
Typical High
$72.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$77.62
Typical High
$114.82
Sentara
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$72.44
Typical High
$93.33
Sentara
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$72.44
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$64.57
Typical High
$74.13

Where Virginia 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.

Virginia· 26th 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.