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Xenon Xe-133 Gas, Diagnostic

Oklahoma 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?

$257

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $251 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 4 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$257 to $263
FacilityA hospital or hospital-owned outpatient department$251$234 to $257

How much rates vary

Facilitymedian $251 · 10th to 90th $234 to $398Professionalmedian $263 · 10th to 90th $251 to $269
$50$100$200$500$1Kfacility $251professional $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
$234.42
Median
$251.19
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$263.03
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$275.42
Typical High
$1,096.48
Medica
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$263.03
Typical High
$263.03

Where Oklahoma 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.

Oklahoma· 44th of 51

$257

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.