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Technetium Tc-99m Pentetate, Diagnostic, Aerosol

Wisconsin 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 Wisconsin, 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 $28.18 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$28.84$20.89 to $54.95
FacilityA hospital or hospital-owned outpatient department$28.18$21.88 to $74.13

How much rates vary

Facilitymedian $28 · 10th to 90th $14 to $87Professionalmedian $29 · 10th to 90th $18 to $115
$20$50$100$200$500$1Kfacility $28professional $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
$14.13
Median
$14.13
Typical High
$14.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.13
Typical High
$407.38
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$47.86
Typical High
$114.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$74.13
Typical High
$100.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$30.90
Typical High
$44.67
DeanCare
Setting
Facility
Modifier
None
Typical Low
$16.98
Median
$23.44
Typical High
$44.67
DeanCare
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$85.11
Typical High
$91.20
Medica
Setting
Facility
Modifier
None
Typical Low
$16.98
Median
$23.44
Typical High
$1,380.38
Medica
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$20.42
Typical High
$30.90
Network Health
Setting
Facility
Modifier
None
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Network Health
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Prevea360
Setting
Facility
Modifier
None
Typical Low
$16.98
Median
$23.44
Typical High
$44.67
Quartz
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$47.86
Typical High
$67.61
Quartz
Setting
Facility
Modifier
None
Typical Low
$23.99
Median
$54.95
Typical High
$54.95
Quartz
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$17.78
Typical High
$31.62
United
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$28.84

Where Wisconsin 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.

Wisconsin· 6th 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.