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Indium In-111 Pentetreotide, Diagnostic

Texas 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?

$5,623

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $5,623 for this service. The price depends on where it is billed: about $5,495 from a physician practice, and about $12,303 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$5,495$3,981 to $5,623
FacilityA hospital or hospital-owned outpatient department$12,303$5,623 to $20,417

How much rates vary

Facilitymedian $12,303 · 10th to 90th $4,467 to $23,988Professionalmedian $5,495 · 10th to 90th $3,890 to $5,623
$100.0$1.0K$10.0Kfacility $12,303professional $5,495

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
$5,495.41
Median
$19,054.61
Typical High
$20,417.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$5,623.41
Typical High
$5,623.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$14,125.38
Typical High
$26,915.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$9,772.37
Typical High
$26,915.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$38,904.51
Typical High
$38,904.51
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$38,904.51
Median
$38,904.51
Typical High
$38,904.51
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$4,677.35
Typical High
$9,332.54
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$5,754.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$4,677.35
Typical High
$12,302.69
Providence
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,981.07
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$5,888.44

Where Texas 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.

Texas $5,623 · 4th 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.