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Xenon Xe-133 Gas, Diagnostic

New York 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?

$263

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $263 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 9 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$245 to $263
FacilityA hospital or hospital-owned outpatient department$263$251 to $269

How much rates vary

Facilitymedian $263 · 10th to 90th $182 to $331Professionalmedian $263 · 10th to 90th $219 to $269
$100$1K$10Kfacility $263professional $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
$158.49
Median
$251.19
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$251.19
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$269.15
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$269.15
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$1,412.54
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$389.05
Typical High
$676.08
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$269.15
Typical High
$281.84
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$269.15
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$245.47
Typical High
$275.42
Univera
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$269.15
Typical High
$281.84
Univera
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$263.03
Typical High
$269.15

Where New York 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 York· 36th of 51

$263

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.