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Indium In-111 Labeled Autologous Platelets, Diagnostic

Indiana rates for HCPCS A9571

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

Rates data updated July 2026.

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

$4,677

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $4,677 for this service. The price depends on where it is billed: about $4,074 from a physician practice, and about $6,310 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 5 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$4,074$977 to $4,074
FacilityA hospital or hospital-owned outpatient department$6,310$6,310 to $8,511

How much rates vary

Facilitymedian $6,310 · 10th to 90th $4,786 to $10,000Professionalmedian $4,074 · 10th to 90th $646 to $4,169
$10.0$100.0$1.0K$10.0Kfacility $6,310professional $4,074

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
$4,073.80
Median
$10,000.00
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$6,309.57
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$831.76
Typical High
$4,168.69
CareSource
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,265.80
Typical High
$7,762.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$11,748.98
Typical High
$11,748.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$6,309.57

Where Indiana sits

The same service costs 4.2 times more in Alaska than in Minnesota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Indiana $4,677 · 9th of 51
AK $6,761MN $1,622

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.