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Automated Analysis Of Heart Artery Plaque

Wisconsin 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?

$112

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $813 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$70.79$46.77 to $3,388
FacilityA hospital or hospital-owned outpatient department$813$31.62 to $4,074

How much rates vary

Facilitymedian $813 · 10th to 90th $23 to $4,786Professionalmedian $71 · 10th to 90th $36 to $5,754
$20$100$500$2Kfacility $813professional $71

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
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$3,801.89
Typical High
$5,248.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$31.62
Typical High
$2,454.71
Medica
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$60.26
Typical High
$5,754.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$524.81
Typical High
$891.25
Quartz
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$4,168.69
Typical High
$4,168.69
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$5,011.87
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$38.02
Typical High
$47.86

Where Wisconsin 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.

Wisconsin· 13th of 42

$112

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.