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Technetium Tc-99m Labeled Autologous White Blood Cells

California rates for HCPCS A9569

Technetium Tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose

Rates data updated July 2026.

How much does Technetium Tc-99m Labeled Autologous White Blood Cells cost?

$1,820

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $1,820 for this service. The price depends on where it is billed: about $1,698 from a physician practice, and about $2,042 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 9 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$1,698$1,660 to $1,738
FacilityA hospital or hospital-owned outpatient department$2,042$1,862 to $2,344

How much rates vary

Facilitymedian $2,042 · 10th to 90th $1,778 to $4,677Professionalmedian $1,698 · 10th to 90th $18 to $2,188
$10.0$100.0$1.0K$10.0Kfacility $2,042professional $1,698

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
$1,698.24
Median
$8,128.31
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,698.24
Typical High
$1,737.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,995.26
Typical High
$3,467.37
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,778.28
Typical High
$3,235.94
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.80
Typical High
$28.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,467.37
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$2,630.27
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$6,165.95
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$9,332.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,041.74
Typical High
$3,890.45
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$5,623.41
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$3,388.44

Where California sits

The same service costs 2.4 times more in Alaska than in Minnesota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $1,820 · 9th of 51
AK $2,754MN $1,148

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.