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Lutetium Lu 177 Vipivotide Tetraxetan (Pluvicto)

Illinois rates for HCPCS A9607

Lutetium Lu 177 vipivotide tetraxetan, therapeutic, 1 mCi

Rates data updated July 2026.

How much does Pluvicto (lutetium lu 177 vipivotide tetraxetan) cost?

$263

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $457 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$257$245 to $295
FacilityA hospital or hospital-owned outpatient department$457$355 to $537

How much rates vary

Facilitymedian $457 · 10th to 90th $245 to $646Professionalmedian $257 · 10th to 90th $245 to $295
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $457professional $257

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
$245.47
Median
$524.81
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$251.19
Typical High
$263.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$436.52
Typical High
$776.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$524.81
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$389.05
Typical High
$630.96
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
$363.08
Median
$363.08
Typical High
$363.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$426.58
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$257.04
Typical High
$269.15

Where Illinois sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $263 · 5th of 51
LA $269NY $245

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.