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Technetium Tc-99m Pentetate, Diagnostic, Aerosol

Montana 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?

$28.84

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $33.88 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$28.84$20.89 to $33.88
FacilityA hospital or hospital-owned outpatient department$33.88$26.30 to $36.31

How much rates vary

Facilitymedian $34 · 10th to 90th $21 to $39Professionalmedian $29 · 10th to 90th $20 to $79
$20$50$100$200facility $34professional $29

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.72
Median
$3.72
Typical High
$21.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$17.78
Typical High
$33.11
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$20.89
Median
$36.31
Typical High
$38.90
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$23.44
Typical High
$38.02
Providence
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.88
Providence
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$30.90
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$20.89

Where Montana 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.

Montana· 5th of 51

$28.84

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.