Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS A9500 (Technetium Tc 99m Sestamibi) Fee Schedule
HCPCS A9500 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Technetium Tc-99m sestamibi, diagnostic, per study dose
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Low |
| Medicaid Fee Schedule | $94.12 median of the 8 states in the free preview · View Medicaid rates for A9500 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS A9500 by major payers:
$111.76
BCBS / Anthem
$451.24
UnitedHealthcare
$120.77
Aetna
$115.57
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A9500.
HCPCS A9500
5 of 25 sample ratesHigher to lower in this preview
Abbas Ali
Princeton Community Hospital Assn Inc
$636.66Published rateCharles Talakkottur
Theoria Medical PLLC
$450.57Published rateNatassja Gangeri
$450.57Published rateSyed Inaam Mohiuddin Hashim
Orlando Health Medical Group Inc
$450.57Published rateRaj Shukla
Florida Hospital Healthcare Partners Inc
$382.98Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS A9500 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9500. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9300-HCPCS | Low | Exercise equipment |
| A9500-HCPCS | Low | Technetium Tc-99m sestamibi, diagnostic, per study dose |
| A9501-HCPCS | Moderate | Technetium Tc-99m teboroxime, diagnostic, per study dose |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9500. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9500 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS A9500) and we'll show you how you compare in 15 minutes or less.