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Indium In-111 Pentetreotide, Diagnostic

Pennsylvania 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?

$3,981

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $3,981 for this service. The price depends on where it is billed: about $3,981 from a physician practice, and about $4,677 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 9 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$3,981$3,981 to $3,981
FacilityA hospital or hospital-owned outpatient department$4,677$3,981 to $6,761

How much rates vary

Facilitymedian $4,677 · 10th to 90th $2,399 to $14,791Professionalmedian $3,981 · 10th to 90th $3,715 to $3,981
$2K$5K$10K$20Kfacility $4,677professional $3,981

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
$3,981.07
Median
$3,981.07
Typical High
$24,547.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,981.07
Typical High
$3,981.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$13,803.84
Typical High
$14,791.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$3,981.07
Typical High
$3,981.07
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$6,456.54
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$6,025.60
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$5,011.87
Typical High
$24,547.09
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,981.07
Typical High
$3,981.07
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$7,079.46
Median
$7,943.28
Typical High
$9,332.54
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$5,128.61
Typical High
$7,585.78
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$7,079.46
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$5,011.87

Where Pennsylvania 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.

Pennsylvania· 20th of 51

$3,981

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.