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Xenon Xe-133 Gas, Diagnostic

Illinois rates for HCPCS A9558

Xenon Xe-133 gas, diagnostic, per 10 mCi

Rates data updated July 2026.

How much does Xenon Xe-133 Gas, Diagnostic cost?

$269

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $251 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$269$251 to $309
FacilityA hospital or hospital-owned outpatient department$251$141 to $339

How much rates vary

Facilitymedian $251 · 10th to 90th $79 to $501Professionalmedian $269 · 10th to 90th $251 to $316
$100$200$500$1K$2Kfacility $251professional $269

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
$79.43
Median
$251.19
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$676.08
Typical High
$3,801.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$501.19
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$338.84
Typical High
$549.54
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$501.19
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$281.84

Where Illinois sits

The same service costs 20.4 times more in Alaska than in Hawaii. 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.

Illinois· 27th of 51

$269

AK $427HI $20.89

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.