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Indium In-111 Pentetreotide, Diagnostic

Idaho 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?

$3,981

Typical negotiated rate. In Idaho, July 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 $4,365 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 8 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$3,981$3,890 to $3,981
FacilityA hospital or hospital-owned outpatient department$4,365$2,884 to $4,467

How much rates vary

Facilitymedian $4,365 · 10th to 90th $977 to $9,120Professionalmedian $3,981 · 10th to 90th $3,890 to $4,365
$50.0$200.0$1.0K$5.0Kfacility $4,365professional $3,981

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,981.07
Typical High
$4,365.16
BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$2,290.87
Typical High
$8,709.64
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,466.84
Typical High
$10,715.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$4,265.80
Typical High
$12,882.50
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$5,623.41
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,884.03
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$5,248.07
Select Health
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$4,365.16
Typical High
$4,466.84
Select Health
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$5,370.32

Where Idaho 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.

Idaho $3,981 · 27th 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.