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Technetium Tc-99m Pentetate, Diagnostic, Aerosol

Washington 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?

$20.89

Typical negotiated rate. In Washington, October 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $19.05 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$20.89$17.78 to $57.54
FacilityA hospital or hospital-owned outpatient department$19.05$17.78 to $33.11

How much rates vary

Facilitymedian $19 · 10th to 90th $16 to $35Professionalmedian $21 · 10th to 90th $18 to $138
$5$10$20$50$100facility $19professional $21

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
$17.78
Median
$17.78
Typical High
$19.50
Aetna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$17.78
Typical High
$20.42
Ambetter
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$15.85
Median
$15.85
Typical High
$19.05
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$181.97
Cigna
Setting
Facility
Modifier
None
Typical Low
$17.78
Median
$33.11
Typical High
$35.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$46.77
Typical High
$60.26
Molina
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$64.57
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$34.67
Typical High
$41.69
United
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$25.12
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$30.20

Where Washington 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.

Washington· 18th of 51

$20.89

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.