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Indium In-111 Labeled Autologous Platelets, Diagnostic

Texas 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?

$4,266

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $4,266 for this service. The price depends on where it is billed: about $4,266 from a physician practice, and about $9,550 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$4,266$4,169 to $4,266
FacilityA hospital or hospital-owned outpatient department$9,550$5,129 to $14,125

How much rates vary

Facilitymedian $9,550 · 10th to 90th $4,169 to $19,055Professionalmedian $4,266 · 10th to 90th $4,169 to $5,012
$5K$10K$20Kfacility $9,550professional $4,266

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
$4,073.80
Median
$4,168.69
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,073.80
Median
$4,168.69
Typical High
$4,168.69
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$9,549.93
Typical High
$19,054.61
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$10,000.00
Typical High
$13,803.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$22,908.68
Median
$22,908.68
Typical High
$22,908.68
Moda Health
Setting
Facility
Modifier
None
Typical Low
$4,168.69
Median
$5,754.40
Typical High
$15,135.61
Moda Health
Setting
Professional
Modifier
None
Typical Low
$4,073.80
Median
$4,168.69
Typical High
$4,168.69
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Providence
Setting
Facility
Modifier
None
Typical Low
$4,168.69
Median
$5,754.40
Typical High
$36,307.81
Providence
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
United
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,365.16
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69

Where Texas 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.

Texas· 35th of 51

$4,266

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.