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 A9550 Fee Schedule
HCPCS A9550 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Technetium Tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Low |
| Medicaid Fee Schedule | $40.51 median of the 3 states in the free preview · View Medicaid rates for A9550 |
National average reimbursement for HCPCS A9550 by major payers:
$100.55
BCBS / Anthem
$46.16
UnitedHealthcare
$26.59
Aetna
$46.10
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A9550.
HCPCS A9550
No sample rates available for this payer and code. Search provider rates to explore coverage.
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 A9550 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9550. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9548-HCPCS | Moderate | Indium In-111 pentetate, diagnostic, per 0.5 millicurie |
| A9550-HCPCS | Low | Technetium Tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie |
| A9551-HCPCS | Moderate | Technetium Tc-99m succimer, diagnostic, per study dose, up to 10 millicuries |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9550. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9550 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 A9550) and we'll show you how you compare in 15 minutes or less.