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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 October 2026.

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

$4,266

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $4,266 for this service. The price depends on where it is billed: about $3,981 from a physician practice, and about $4,571 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$3,981$3,715 to $5,754
FacilityA hospital or hospital-owned outpatient department$4,571$3,715 to $5,248

How much rates vary

Facilitymedian $4,571 · 10th to 90th $3,236 to $7,413Professionalmedian $3,981 · 10th to 90th $646 to $12,589
$50$200$1K$5K$20Kfacility $4,571professional $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
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,890.45
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$4,570.88
Typical High
$6,606.93
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$5,754.40
Typical High
$6,760.83
CareSource
Setting
Facility
Modifier
None
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$7,762.47
CareSource
Setting
Professional
Modifier
None
Typical Low
$4,466.84
Median
$5,248.07
Typical High
$7,585.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$13,803.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$20,892.96
Typical High
$20,892.96
Molina
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45

Where Kentucky 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.

Kentucky· 12th of 51

$4,266

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.