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Xenon Xe-133 Gas, Diagnostic

Michigan 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?

$251

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $251 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$251$214 to $263
FacilityA hospital or hospital-owned outpatient department$251$123 to $263

How much rates vary

Facilitymedian $251 · 10th to 90th $58 to $631Professionalmedian $251 · 10th to 90th $39 to $331
$50$100$200$500facility $251professional $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
$123.03
Median
$251.19
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$251.19
Typical High
$269.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$60.26
Typical High
$104.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$38.90
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$269.15
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$309.03
Typical High
$977.24
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$331.13
Typical High
$457.09
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$316.23
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$295.12

Where Michigan 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.

Michigan· 45th of 51

$251

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.