go back

Indium In-111 Pentetreotide, Diagnostic

Utah 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?

$3,890

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $3,890 for this service. The price depends on where it is billed: about $3,890 from a physician practice, and about $3,890 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 6 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$3,890$3,890 to $3,890
FacilityA hospital or hospital-owned outpatient department$3,890$3,890 to $3,890

How much rates vary

Facilitymedian $3,890 · 10th to 90th $3,802 to $4,571Professionalmedian $3,890 · 10th to 90th $3,890 to $4,169
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $3,890professional $3,890

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
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$6,760.83
Typical High
$7,413.10
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$5,623.41
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$5,888.44
Select Health
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
Select Health
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,073.80
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45

Where Utah 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.

Utah $3,890 · 44th 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.