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 A9531 Fee Schedule
HCPCS A9531 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Iodine I-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries)
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Low |
| Medicaid Fee Schedule | $7.32 median of the 3 states in the free preview · View Medicaid rates for A9531 |
National average reimbursement for HCPCS A9531 by major payers:
$38.54
BCBS / Anthem
$4.52
UnitedHealthcare
$4.19
Aetna
$3.69
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A9531.
HCPCS A9531
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$12.30Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$5.70Published rateChristopher Raio
St Francis Hospital
$3.71Published rateAnn Steck
$2.57Published rateKaren Allard
Slocum Dickson Medical Group PLLC
$1.78Published 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 A9531 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9531. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9530-HCPCS | Low | Iodine I-131 sodium iodide solution, therapeutic, per millicurie |
| A9531-HCPCS | Low | Iodine I-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries) |
| A9532-HCPCS | Moderate | Iodine I-125 serum albumin, diagnostic, per 5 microcuries |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9531. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9531 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 A9531) and we'll show you how you compare in 15 minutes or less.