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Lutetium Lu 177 Vipivotide Tetraxetan (Pluvicto)

North Carolina rates for HCPCS A9607

Lutetium Lu 177 vipivotide tetraxetan, therapeutic, 1 mCi

Rates data updated July 2026.

How much does Lutetium Lu 177 Vipivotide Tetraxetan (Pluvicto) cost?

$263

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $263 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$263$245 to $269
FacilityA hospital or hospital-owned outpatient department$263$234 to $331

How much rates vary

Facilitymedian $263 · 10th to 90th $219 to $603Professionalmedian $263 · 10th to 90th $219 to $269
$100.0$200.0$500.0$1.0Kfacility $263professional $263

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
$218.78
Median
$263.03
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$257.04
Typical High
$263.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$416.87
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$257.04
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$426.58
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$257.04
Typical High
$263.03
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38

Where North Carolina 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.

North Carolina $263 · 9th 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.