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Coronary Plaque Light Analysis

Wisconsin 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 July 2026.

How much does Coronary Plaque Light Analysis cost?

$170

Typical physician fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $170 for this service. Most negotiated rates run $50.12 to $195.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $170 · 10th to 90th $170 to $195Professionalmedian $59 · 10th to 90th $50 to $389
$100$200facility $170professional $59

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Medica
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$70.79
Quartz
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$194.98
Quartz
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$389.05

Where Wisconsin sits

The same service costs 1862.1 times more in Kentucky than in Idaho. 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.

Wisconsin· 17th of 28

$170

KY $56,234ID $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.