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Blood-Flow Simulation From Heart CT Data

Pennsylvania rates for HCPCS 0503T

The modeling step of a noninvasive assessment of the heart's arteries. The scan data is run through a simulation of blood flow with the heart's demand at its highest, producing an estimate of how much each narrowing limits flow along the artery.

Rates data updated July 2026.

How much does Blood-Flow Simulation From Heart CT Data cost?

$851

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $851 for this service. Most negotiated rates run $832 to $1,148.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $32 · 10th to 90th $32 to $832Professionalmedian $933 · 10th to 90th $813 to $2,089
$50$100$200$500$1K$2Kfacility $32professional $933

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,071.52
Typical High
$1,288.25
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$831.76
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$831.76
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,862.09
Typical High
$3,548.13

Where Pennsylvania sits

The same service costs 2138.0 times more in Kentucky than in New Jersey. 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.

Pennsylvania· 36th of 40

$851

KY $58,884NJ $27.54

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.