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Indium In-111 Pentetreotide, Diagnostic

North Carolina 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?

$4,677

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $4,677 for this service. The price depends on where it is billed: about $4,266 from a physician practice, and about $5,754 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$4,266$3,981 to $5,754
FacilityA hospital or hospital-owned outpatient department$5,754$5,754 to $5,888

How much rates vary

Facilitymedian $5,754 · 10th to 90th $3,802 to $6,761Professionalmedian $4,266 · 10th to 90th $3,890 to $5,754
$100.0$500.0$2.0K$10.0Kfacility $5,754professional $4,266

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
$5,754.40
Median
$5,754.40
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$5,754.40
Typical High
$5,754.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$5,754.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$5,888.44
Typical High
$9,332.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$5,754.40
Typical High
$7,244.36
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,311.31
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$5,011.87
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$38,904.51
Typical High
$38,904.51
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$38,904.51
Median
$38,904.51
Typical High
$38,904.51

Where North Carolina 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.

North Carolina $4,677 · 8th 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.