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Indium In-111 Pentetreotide, Diagnostic

Illinois 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 Illinois, October 2026.

Insurers have agreed to pay about $3,981 for this service. The price depends on where it is billed: about $3,890 from a physician practice, and about $5,888 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,890$3,715 to $3,981
FacilityA hospital or hospital-owned outpatient department$5,888$2,692 to $25,704

How much rates vary

Facilitymedian $5,888 · 10th to 90th $2,399 to $64,565Professionalmedian $3,890 · 10th to 90th $3,715 to $4,677
$100$1K$10K$100Kfacility $5,888professional $3,890

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
$3,715.35
Median
$3,715.35
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,890.45
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$2,398.83
Median
$10,964.78
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
None
Typical Low
$5,370.32
Median
$7,943.28
Typical High
$9,549.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Hally Health
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$6,309.57
Typical High
$7,585.78
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$4,466.84
United
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$4,365.16

Where Illinois 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.

Illinois· 25th 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.