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Indium In-111 Pentetreotide, Diagnostic

Ohio 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?

$5,012

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $5,012 for this service. The price depends on where it is billed: about $5,623 from a physician practice, and about $5,012 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$5,623$3,802 to $8,511
FacilityA hospital or hospital-owned outpatient department$5,012$3,715 to $9,550

How much rates vary

Facilitymedian $5,012 · 10th to 90th $2,512 to $13,183Professionalmedian $5,623 · 10th to 90th $3,715 to $10,471
$200$500$1K$2K$5K$10K$20Kfacility $5,012professional $5,623

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
$8,912.51
Typical High
$13,182.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$5,623.41
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$4,466.84
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$8,128.31
Typical High
$11,748.98
CareSource
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$9,772.37
Typical High
$11,481.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$4,677.35
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$9,772.37
Typical High
$12,022.64
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$5,754.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$128.82
Typical High
$186.21
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$5,011.87
Typical High
$8,128.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$4,897.79

Where Ohio 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.

Ohio· 5th of 51

$5,012

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.