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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 July 2026.

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

$4,169

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $4,169 for this service. The price depends on where it is billed: about $3,890 from a physician practice, and about $4,677 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$3,890$3,890 to $4,169
FacilityA hospital or hospital-owned outpatient department$4,677$4,169 to $5,248

How much rates vary

Facilitymedian $4,677 · 10th to 90th $3,981 to $10,715Professionalmedian $3,890 · 10th to 90th $3,236 to $6,026
$100.0$500.0$2.0K$10.0Kfacility $4,677professional $3,890

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
$3,890.45
Median
$18,197.01
Typical High
$31,622.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,890.45
Typical High
$3,981.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$4,466.84
Typical High
$7,413.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$4,168.69
Typical High
$7,413.10
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$6,918.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$7,943.28
Typical High
$9,772.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$5,888.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$38,904.51
Typical High
$38,904.51
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$38,904.51
Median
$38,904.51
Typical High
$38,904.51
Providence
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$5,495.41
Typical High
$10,471.29
Providence
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$21,877.62
Typical High
$21,877.62
United
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$7,762.47

Where California sits

The same service costs 4.9 times more in Montana than in Minnesota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $4,169 · 14th of 51
MT $8,710MN $1,778

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.