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Piflufolastat F-18 (Pylarify), Diagnostic

Illinois rates for HCPCS A9595

Piflufolastat F-18, diagnostic, 1 mCi

Rates data updated July 2026.

How much does Pylarify (piflufolastat f-18) cost?

$646

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $832 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$646$603 to $692
FacilityA hospital or hospital-owned outpatient department$832$603 to $1,023

How much rates vary

Facilitymedian $832 · 10th to 90th $525 to $1,380Professionalmedian $646 · 10th to 90th $603 to $794
$500$1K$2K$5Kfacility $832professional $646

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
$602.56
Median
$870.96
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$630.96
Typical High
$912.01
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,047.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$588.84
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,148.15
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$912.01
Typical High
$1,479.11
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$630.96
Typical High
$660.69

Where Illinois sits

Rates are fairly even across states for this service. 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.

Illinois· 8th of 51

$646

IA $759KY $617

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.