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Technetium Tc-99m Pentetate, Diagnostic, Aerosol

Utah 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?

$17.78

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $17.78 for this service. Most negotiated rates run $3.39 to $20.89.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

How much rates vary

Facilitymedian $3 · 10th to 90th $3 to $3Professionalmedian $18 · 10th to 90th $3 to $21
$10$100$1Kfacility $3professional $18

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
$3.39
Median
$3.39
Typical High
$3.39
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.39
Median
$3.39
Typical High
$3.39
Cigna
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Molina
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$60.26
Select Health
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
United
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$20.89

Where Utah 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.

Utah· 47th of 51

$17.78

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.