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Xenon Xe-133 Gas, Diagnostic

Montana 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 Montana, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $355 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$263$263 to $355
FacilityA hospital or hospital-owned outpatient department$355$186 to $372

How much rates vary

Facilitymedian $355 · 10th to 90th $2 to $46,774Professionalmedian $263 · 10th to 90th $2 to $363
$10$100$1K$10K$100Kfacility $355professional $263

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
$208.93
Median
$933.25
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$263.03
Typical High
$263.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$794.33
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$338.84
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$354.81
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$354.81
Typical High
$363.08
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$354.81
Typical High
$363.08
Providence
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$338.84
Typical High
$707.95
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$204.17
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03

Where Montana 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.

Montana· 16th 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.