go back

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 October 2026.

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

$5,012

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $5,012 for this service. The price depends on where it is billed: about $5,754 from a physician practice, and about $3,715 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5,754$3,981 to $7,244
FacilityA hospital or hospital-owned outpatient department$3,715$3,020 to $7,079

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,995 to $11,220Professionalmedian $5,754 · 10th to 90th $3,890 to $9,120
$200$500$1K$2K$5K$10K$20Kfacility $3,715professional $5,754

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
$10,232.93
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$8,709.64
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$3,467.37
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$5,754.40
Median
$6,760.83
Typical High
$10,715.19
CareSource
Setting
Facility
Modifier
None
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32
Cigna
Setting
Facility
Modifier
None
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$11,481.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$4,677.35
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$11,481.54
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$4,677.35
Molina
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$158.49
Typical High
$223.87
SummaCare
Setting
Professional
Modifier
None
Typical Low
$4,073.80
Median
$4,466.84
Typical High
$6,456.54
United
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$5,754.40

Where Ohio 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.

Ohio· 8th of 51

$5,012

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.