go back

Review And Report Of Heart Artery Flow Model

Illinois rates for HCPCS 0504T

The final step of a noninvasive assessment of the heart's arteries. The estimated flow model is compared with the pictures of the arteries themselves, any disagreement between the two is worked through, and an interpretation and written report are issued.

Rates data updated October 2026.

How much does Review And Report Of Heart Artery Flow Model cost?

$200

Typical facility fee. In Illinois, October 2026.

Insurers have agreed to pay about $200 for this service. Most negotiated rates run $46.77 to $380.

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 $380 · 10th to 90th $174 to $759Professionalmedian $47 · 10th to 90th $43 to $151
$50$100$200$500facility $380professional $47

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

Rates by insurance carrier

Insurance Carrier
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$380.19
Typical High
$758.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$42.66
Typical High
$46.77
Hally Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$151.36
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00

Where Illinois sits

The same service costs 2630.3 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.

Illinois· 12th of 33

$200

KY $70,795NJ $26.92

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.