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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 October 2026.

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

$5,623

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $5,623 for this service. The price depends on where it is billed: about $3,981 from a physician practice, and about $14,791 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,981$3,890 to $5,495
FacilityA hospital or hospital-owned outpatient department$14,791$8,511 to $20,417

How much rates vary

Facilitymedian $14,791 · 10th to 90th $5,623 to $28,840Professionalmedian $3,981 · 10th to 90th $3,890 to $5,754
$5K$10K$20K$50Kfacility $14,791professional $3,981

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
$5,495.41
Median
$5,623.41
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,677.35
Median
$5,623.41
Typical High
$5,623.41
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$6,165.95
Median
$15,135.61
Typical High
$28,840.32
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$9,332.54
Typical High
$12,589.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$38,904.51
Median
$38,904.51
Typical High
$38,904.51
Moda Health
Setting
Facility
Modifier
None
Typical Low
$4,677.35
Median
$7,943.28
Typical High
$20,417.38
Moda Health
Setting
Professional
Modifier
None
Typical Low
$5,128.61
Median
$5,623.41
Typical High
$5,623.41
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Providence
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$5,888.44
Typical High
$33,884.42
Providence
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
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
$3,981.07
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45

Where Texas 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.

Texas· 6th of 51

$5,623

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.