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Technetium Tc-99m Labeled Autologous White Blood Cells

North Carolina 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?

$1,660

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,660 for this service. The price depends on where it is billed: about $1,549 from a physician practice, and about $2,570 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$1,549$1,549 to $1,698
FacilityA hospital or hospital-owned outpatient department$2,570$1,549 to $2,692

How much rates vary

Facilitymedian $2,570 · 10th to 90th $1,549 to $2,692Professionalmedian $1,549 · 10th to 90th $1,318 to $1,738
$50.0$200.0$1.0K$5.0Kfacility $2,570professional $1,549

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
$1,548.82
Median
$2,570.40
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,737.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,630.27
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,819.70
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,548.82
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,737.80
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$6,165.95
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$9,332.54

Where North Carolina 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.

North Carolina $1,660 · 49th 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.