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Xenon Xe-133 Gas, Diagnostic

Minnesota 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?

$30.20

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $832 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$30.20$30.20 to $316
FacilityA hospital or hospital-owned outpatient department$832$316 to $1,202

How much rates vary

Facilitymedian $832 · 10th to 90th $76 to $2,239Professionalmedian $30 · 10th to 90th $25 to $324
$1$10$100$1Kfacility $832professional $30

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
$316.23
Median
$316.23
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$263.03
Typical High
$316.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$75.86
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$30.20
Typical High
$30.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,047.13
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$363.08
Typical High
$407.38
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,148.15
Typical High
$2,238.72
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$436.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$309.03
Typical High
$562.34
Medica
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$467.74

Where Minnesota 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.

Minnesota· 50th of 51

$30.20

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.