go back

Technetium Tc-99m Labeled Autologous White Blood Cells

New York rates for HCPCS A9569

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

Rates data updated October 2026.

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

$1,698

Typical negotiated rate. In New York, October 2026.

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

How much rates vary

Facilitymedian $1,820 · 10th to 90th $933 to $1,950Professionalmedian $1,698 · 10th to 90th $1,479 to $1,820
$1K$2K$5Kfacility $1,820professional $1,698

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
$1,412.54
Median
$1,659.59
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,737.80
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$954.99
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
CDPHP
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$2,818.38
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,737.80
Typical High
$1,737.80
Excellus BCBS
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$1,819.70
Typical High
$1,819.70
Excellus BCBS
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,819.70
Typical High
$1,819.70
United
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
United
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,819.70
Typical High
$2,570.40
Univera
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$1,819.70
Typical High
$1,819.70
Univera
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,819.70
Typical High
$1,819.70
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Highmark BCBS
Setting
Facility
Modifier
59 · Distinct service
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70

Where New York sits

The same service costs 1.7 times more in Alaska than in Kentucky. 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.

New York· 48th of 51

$1,698

AK $2,754KY $1,660

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.