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Technetium Tc-99m Pentetate, Diagnostic, Aerosol

South Dakota rates for HCPCS A9567

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

Rates data updated July 2026.

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

$30.90

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $30.90 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $355 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 6 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$20.89$14.79 to $30.90
FacilityA hospital or hospital-owned outpatient department$355$355 to $355

How much rates vary

Facilitymedian $355 · 10th to 90th $25 to $355Professionalmedian $21 · 10th to 90th $14 to $39
$5$10$20$50$100$200facility $355professional $21

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
$173.78
Median
$354.81
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$14.45
Typical High
$14.79
Avera
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$22.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$38.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$23.99
Typical High
$39.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$20.42
Typical High
$22.39
Midlands
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
United
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.89
Typical High
$23.99

Where South Dakota sits

The same service costs 51.3 times more in West Virginia than in Rhode Island. 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.

South Dakota· 8th of 51

$30.90

WV $174RI $3.39

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.