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Iodine I-125 Sodium Iothalamate, Diagnostic

Pennsylvania rates for HCPCS A9554

Iodine I-125 sodium iothalamate, diagnostic, per study dose, up to 10 mcCi

Rates data updated July 2026.

How much does Iodine I-125 Sodium Iothalamate, Diagnostic cost?

$38.02

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $38.02 for this service. The price depends on where it is billed: about $38.02 from a physician practice, and about $60.26 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$38.02$37.15 to $38.02
FacilityA hospital or hospital-owned outpatient department$60.26$38.02 to $234

How much rates vary

Facilitymedian $60 · 10th to 90th $38 to $646Professionalmedian $38 · 10th to 90th $36 to $38
$50$100$200$500facility $60professional $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
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$38.02
Typical High
$38.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$134.90
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$47.86
Typical High
$50.12
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$70.79
Typical High
$575.44
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$38.02
Typical High
$38.02
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$46.77

Where Pennsylvania sits

The same service costs 1.9 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.

Pennsylvania· 28th of 51

$38.02

AK $60.26MN $31.62

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.