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Xenon Xe-133 Gas, Diagnostic

Ohio 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 Ohio, 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 $389 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 8 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$42.66 to $263
FacilityA hospital or hospital-owned outpatient department$389$251 to $646

How much rates vary

Facilitymedian $389 · 10th to 90th $112 to $708Professionalmedian $251 · 10th to 90th $32 to $295
$50$100$200$500$1Kfacility $389professional $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
$109.65
Median
$363.08
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$295.12
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$562.34
Typical High
$1,698.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$41.69
Typical High
$263.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$676.08
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$316.23
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$676.08
Typical High
$812.83
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$316.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$60.26
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$338.84
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$660.69
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$281.84

Where Ohio 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.

Ohio· 46th 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.