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Automated Analysis Of Heart Artery Plaque

California rates for HCPCS 0626T

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?

$676

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $676 for this service. Most negotiated rates run $468 to $676.

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 $2,630 · 10th to 90th $468 to $2,630Professionalmedian $676 · 10th to 90th $468 to $676
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $2,630professional $676

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
$467.74
Median
$2,630.27
Typical High
$2,630.27
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$676.08
Typical High
$676.08
Providence
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18

Where California sits

The same service costs 2238.7 times more in New York than in Oregon. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $676 · 4th of 41
NY $53,703OR $23.99

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.