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Xenon Xe-133 Gas, Diagnostic

New Hampshire 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 New Hampshire, 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 $417 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$269$269 to $269
FacilityA hospital or hospital-owned outpatient department$417$302 to $550

How much rates vary

Facilitymedian $417 · 10th to 90th $269 to $955Professionalmedian $269 · 10th to 90th $269 to $468
$500$1Kfacility $417professional $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
$269.15
Median
$269.15
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$323.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$549.54
Typical High
$954.99
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$269.15
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$524.81
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$269.15
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$346.74
Typical High
$467.74

Where New Hampshire 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.

New Hampshire· 18th 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.