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Indium In-111 Pentetreotide, Diagnostic

Kentucky 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?

$3,890

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $3,890 for this service. The price depends on where it is billed: about $3,890 from a physician practice, and about $4,571 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 6 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$3,715 to $5,754
FacilityA hospital or hospital-owned outpatient department$4,571$4,571 to $7,762

How much rates vary

Facilitymedian $4,571 · 10th to 90th $3,715 to $9,772Professionalmedian $3,890 · 10th to 90th $3,715 to $5,754
$1K$2K$5K$10K$20Kfacility $4,571professional $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
$3,715.35
Median
$3,715.35
Typical High
$21,379.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,890.45
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$9,772.37
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$5,754.40
Typical High
$5,754.40
CareSource
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$7,762.47
CareSource
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$5,248.07
Typical High
$7,585.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$13,803.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$20,892.96
Typical High
$20,892.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$4,897.79

Where Kentucky sits

The same service costs 4.9 times more in Montana 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.

Kentucky· 39th of 51

$3,890

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.