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Technetium Tc-99m Pentetate, Diagnostic

Montana rates for HCPCS A9539

Technetium Tc-99m pentetate, diagnostic, per study dose, up to 25 mCi

Rates data updated July 2026.

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

$50.12

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $38.02 from a physician practice, and about $52.48 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$38.02$30.90 to $51.29
FacilityA hospital or hospital-owned outpatient department$52.48$51.29 to $93.33

How much rates vary

Facilitymedian $52 · 10th to 90th $1 to $66,069Professionalmedian $38 · 10th to 90th $1 to $52
$1$10$100$1K$10K$100Kfacility $52professional $38

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
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.90
Typical High
$30.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$64,565.42
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$128.82
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$47.86
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$51.29
Typical High
$52.48
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$51.29
Typical High
$52.48
Providence
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$87.10
Typical High
$331.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$50.12
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02

Where Montana sits

The same service costs 2.5 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.

Montana· 2nd of 51

$50.12

AK $51.29MN $20.42

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.