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Technetium Tc-99m Pentetate, Diagnostic

New Hampshire 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?

$31.62

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $31.62 for this service. The price depends on where it is billed: about $31.62 from a physician practice, and about $31.62 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$31.62$31.62 to $31.62
FacilityA hospital or hospital-owned outpatient department$31.62$31.62 to $38.02

How much rates vary

Facilitymedian $32 · 10th to 90th $23 to $85Professionalmedian $32 · 10th to 90th $29 to $56
$20$50$100facility $32professional $32

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
$31.62
Median
$31.62
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$38.02
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$63.10
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$38.02
Typical High
$38.02
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$17.38
Typical High
$23.44

Where New Hampshire 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.

New Hampshire· 32nd of 51

$31.62

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.