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Therapeutic Radiopharmaceutical, Unclassified

Pennsylvania rates for HCPCS A9699

Radiopharmaceutical, therapeutic, not otherwise classified

Rates data updated July 2026.

How much does Therapeutic Radiopharmaceutical, Unclassified cost?

$31,623

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $31,623 for this service. The price depends on where it is billed: about $31,623 from a physician practice, and about $29,512 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$31,623$29,512 to $38,019
FacilityA hospital or hospital-owned outpatient department$29,512$29,512 to $75,858

How much rates vary

Facilitymedian $29,512 · 10th to 90th $29,512 to $147,911Professionalmedian $31,623 · 10th to 90th $27,542 to $39,811
$10K$20K$50K$100Kfacility $29,512professional $31,623

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
$29,512.09
Median
$29,512.09
Typical High
$29,512.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26,302.68
Median
$31,622.78
Typical High
$38,018.94
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$100,000.00
Median
$100,000.00
Typical High
$100,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$39,810.72
Median
$138,038.43
Typical High
$147,910.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39,810.72
Median
$39,810.72
Typical High
$39,810.72
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$38,018.94
Median
$38,018.94
Typical High
$38,018.94
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$29,512.09
Typical High
$29,512.09
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$27,542.29
Median
$31,622.78
Typical High
$34,673.69
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$38,018.94

Where Pennsylvania sits

The same service costs 1122.0 times more in Oregon than in California. 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.

Pennsylvania· 35th of 51

$31,623

OR $85,114CA $75.86

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.