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Coronary Plaque Light Analysis

Nationwide rates for HCPCS 0205T

During a heart catheterization, a catheter passed inside a heart artery shines light onto the vessel wall and reads the reflected pattern to work out what the plaque there is made of. Knowing whether a deposit is fatty and unstable helps the cardiologist decide how to treat it.

Rates data updated October 2026.

How much does Coronary Plaque Light Analysis cost?

$389

Typical negotiated rate. Nationwide, October 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $4,365 from a hospital or other facility.

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 13 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$389$380 to $389
FacilityA hospital or hospital-owned outpatient department$4,365$2,512 to $6,310

How much rates vary

Facilitymedian $4,365 · 10th to 90th $251 to $9,550Professionalmedian $389 · 10th to 90th $50 to $389
$100$1K$10Kfacility $4,365professional $389

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$5,011.87
Typical High
$10,000.00
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$70.79
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$281.84
Typical High
$467.74
CareSource
Setting
Facility
Modifier
None
Typical Low
$70,794.58
Median
$70,794.58
Typical High
$70,794.58
CareSource
Setting
Professional
Modifier
None
Typical Low
$74,131.02
Median
$74,131.02
Typical High
$74,131.02
Geisinger
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$257.04
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$165.96
Typical High
$263.03
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$407.38
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Medica
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$194.98
Medica
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$42.66
Typical High
$60.26
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$954.99
Typical High
$2,187.76

What it costs in each state

The same service costs 2344.2 times more in Kentucky than in South Carolina. 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.

Touch or drag across the chart to see any state's rate.

KY $70,795SC $30.20

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.