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Xenon Xe-133 Gas, Diagnostic

Indiana 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?

$282

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $398 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 5 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$251$44.67 to $251
FacilityA hospital or hospital-owned outpatient department$398$372 to $525

How much rates vary

Facilitymedian $398 · 10th to 90th $251 to $589Professionalmedian $251 · 10th to 90th $33 to $263
$50$100$200$500facility $398professional $251

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
$169.82
Median
$302.00
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$398.11
Typical High
$524.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$69.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$275.42
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$398.11

Where Indiana 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.

Indiana· 8th of 51

$282

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.