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Indium In-111 Labeled Autologous Platelets, Diagnostic

Idaho rates for HCPCS A9571

Indium In-111 labeled autologous platelets, diagnostic, per study dose

Rates data updated October 2026.

How much does Indium In-111 Labeled Autologous Platelets, Diagnostic cost?

$4,786

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $4,786 for this service. The price depends on where it is billed: about $4,365 from a physician practice, and about $5,495 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$4,365$4,266 to $5,495
FacilityA hospital or hospital-owned outpatient department$5,495$4,786 to $7,943

How much rates vary

Facilitymedian $5,495 · 10th to 90th $2,138 to $9,550Professionalmedian $4,365 · 10th to 90th $4,169 to $5,888
$50$200$1K$5Kfacility $5,495professional $4,365

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
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,365.16
Typical High
$4,365.16
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$7,244.36
Typical High
$10,471.29
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$4,073.80
Median
$4,265.80
Typical High
$5,754.40
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,677.35
Median
$4,897.79
Typical High
$11,748.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Moda Health
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$4,365.16
Typical High
$6,165.95
Moda Health
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,365.16
Typical High
$4,365.16
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$3,548.13
Typical High
$4,168.69
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$4,897.79
Median
$5,495.41
Typical High
$7,943.28
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$4,897.79
Median
$5,495.41
Typical High
$9,332.54
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$4,570.88
Median
$5,754.40
Typical High
$6,025.60
Select Health
Setting
Facility
Modifier
None
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$8,128.31
Select Health
Setting
Professional
Modifier
None
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$5,011.87
United
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$6,760.83

Where Idaho 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.

Idaho· 5th of 51

$4,786

AK $6,761KY $4,074

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.