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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 July 2026.

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

$4,169

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $4,169 for this service. The price depends on where it is billed: about $4,169 from a physician practice, and about $8,913 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 9 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$4,169$4,169 to $4,169
FacilityA hospital or hospital-owned outpatient department$8,913$4,266 to $15,136

How much rates vary

Facilitymedian $8,913 · 10th to 90th $4,074 to $15,136Professionalmedian $4,169 · 10th to 90th $4,074 to $4,266
$100.0$1.0K$10.0Kfacility $8,913professional $4,169

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
$14,125.38
Typical High
$15,135.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,168.69
Typical High
$4,265.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$8,912.51
Typical High
$16,982.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$10,471.29
Typical High
$28,840.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$15,135.61
Typical High
$15,135.61
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$22,908.68
Median
$22,908.68
Typical High
$22,908.68
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$5,011.87
Typical High
$8,128.31
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$5,011.87
Typical High
$13,489.63
Providence
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
$4,786.30
Median
$7,943.28
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,265.80
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,786.30
Typical High
$6,456.54

Where Texas 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.

Texas $4,169 · 44th 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.