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Piflufolastat F-18 (Pylarify), Diagnostic

North Carolina 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 North Carolina, 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 $741 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 7 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$617 to $661
FacilityA hospital or hospital-owned outpatient department$741$562 to $1,479

How much rates vary

Facilitymedian $741 · 10th to 90th $490 to $1,738Professionalmedian $646 · 10th to 90th $562 to $676
$500$1K$2Kfacility $741professional $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
$489.78
Median
$776.25
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$630.96
Typical High
$676.08
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$575.44
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$977.24
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Medcost
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$660.69
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$575.44
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$630.96
Typical High
$645.65
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44

Where North Carolina 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.

North Carolina· 7th 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.