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Xenon Xe-133 Gas, Diagnostic

Massachusetts 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 Massachusetts, 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 $138 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$269$269 to $269
FacilityA hospital or hospital-owned outpatient department$138$93.33 to $269

How much rates vary

Facilitymedian $138 · 10th to 90th $76 to $537Professionalmedian $269 · 10th to 90th $263 to $447
$50$100$200$500$1K$2K$5Kfacility $138professional $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
$81.28
Median
$269.15
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$346.74
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$851.14
Typical High
$954.99
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$288.40
Typical High
$758.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$104.71
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$562.34
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$416.87
Typical High
$5,888.44
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$407.38
Typical High
$575.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$436.52
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$851.14
Typical High
$954.99
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$288.40
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$660.69
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$269.15
Typical High
$316.23

Where Massachusetts 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.

Massachusetts· 10th 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.