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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 October 2026.

How much does Technetium Tc-99m Pyrophosphate, Diagnostic cost?

$64.57

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $72.44 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$64.57$61.66 to $66.07
FacilityA hospital or hospital-owned outpatient department$72.44$66.07 to $100

How much rates vary

Facilitymedian $72 · 10th to 90th $65 to $123Professionalmedian $65 · 10th to 90th $62 to $72
$20$50$100facility $72professional $65

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
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$123.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$66.07
Typical High
$66.07
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$61.66
Typical High
$77.62
CareFirst
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Cigna
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$114.82
Typical High
$162.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$70.79
Typical High
$74.13
Medcost
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$100.00
Medcost
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Sentara
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$69.18
Typical High
$83.18
Sentara
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$75.86
United
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$64.57
Typical High
$77.62

Where Virginia 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.

Virginia· 40th of 51

$64.57

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.