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Indium In-111 Pentetreotide, Diagnostic

California rates for HCPCS A9572

Indium In-111 pentetreotide, diagnostic, per study dose, up to 6 mCi

Rates data updated October 2026.

How much does Indium In-111 Pentetreotide, Diagnostic cost?

$3,981

Typical negotiated rate. In California, October 2026.

Insurers have agreed to pay about $3,981 for this service. The price depends on where it is billed: about $3,981 from a physician practice, and about $4,074 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$3,981$3,890 to $5,370
FacilityA hospital or hospital-owned outpatient department$4,074$3,388 to $5,754

How much rates vary

Facilitymedian $4,074 · 10th to 90th $2,630 to $8,913Professionalmedian $3,981 · 10th to 90th $3,236 to $38,905
$2K$5K$10K$20Kfacility $4,074professional $3,981

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
$3,890.45
Median
$3,890.45
Typical High
$19,498.45
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$2,630.27
Median
$3,981.07
Typical High
$7,413.10
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$7,585.78
Blue Shield
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$3,235.94
Typical High
$7,413.10
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$7,943.28
Typical High
$12,022.64
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Contra Costa Health
Setting
Professional
Modifier
None
Typical Low
$4,365.16
Median
$4,897.79
Typical High
$5,888.44
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$4,365.16
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$38,904.51
Median
$38,904.51
Typical High
$38,904.51
Providence
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$5,754.40
Typical High
$11,748.98
Providence
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$4,365.16
United
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$21,877.62
United
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$10,471.29

Where California sits

The same service costs 2.4 times more in Alaska than in Minnesota. 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.

California· 32nd of 51

$3,981

AK $9,333MN $3,890

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.