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Automated Analysis Of Heart Artery Plaque

California rates for HCPCS 0625T

Software analysis of images from a CT scan of the heart's arteries that finds and measures the fatty and calcified plaque built up in the artery walls, reporting how much there is, where it sits and what kind it is. It gives a numerical picture of the disease burden rather than only a visual impression of how narrow an artery looks.

Rates data updated July 2026.

How much does Automated Analysis Of Heart Artery Plaque cost?

$5,012

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $5,012 for this service. Most negotiated rates run $3,802 to $9,550.

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 $3,802 · 10th to 90th $3,802 to $3,802Professionalmedian $9,550 · 10th to 90th $5,012 to $9,550
$500$1K$2K$5K$10Kfacility $3,802professional $9,550

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$630.96
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$9,549.93
Typical High
$9,549.93
Providence
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09

Where California sits

The same service costs 2691.5 times more in New York than in Wyoming. 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.

California· 5th of 42

$5,012

NY $53,703WY $19.95

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.