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Technetium Tc-99m Pentetate, Diagnostic, Aerosol

Indiana rates for HCPCS A9567

Technetium Tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 mCi

Rates data updated October 2026.

How much does Technetium Tc-99m Pentetate, Diagnostic, Aerosol cost?

$85.11

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $48.98 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$589$20.89 to $646
FacilityA hospital or hospital-owned outpatient department$48.98$28.84 to $912

How much rates vary

Facilitymedian $49 · 10th to 90th $20 to $1,259Professionalmedian $589 · 10th to 90th $17 to $851
$10$50$200$1Kfacility $49professional $589

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$17.38
Median
$17.38
Typical High
$28.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$17.38
Typical High
$17.38
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$1,258.93
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$977.24
Cigna
Setting
Facility
Modifier
None
Typical Low
$20.42
Median
$48.98
Typical High
$48.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$17.78
Typical High
$47.86
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$954.99
Typical High
$2,187.76
United
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$41.69

Where Indiana sits

The same service costs 19.5 times more in New York than in Arkansas. 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.

Indiana· 2nd of 51

$85.11

NY $331AR $16.98

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.