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Automated Analysis Of Heart Artery Plaque

Iowa 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 October 2026.

How much does Automated Analysis Of Heart Artery Plaque cost?

$117

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $95.50 to $229.

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 $117 · 10th to 90th $83 to $2,512Professionalmedian $123 · 10th to 90th $83 to $468
$100$200$500$1K$2Kfacility $117professional $123

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
Hally Health
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Medica
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$117.49
Typical High
$2,511.89
Medica
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$123.03
Typical High
$467.74
Midlands
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$107.15

Where Iowa sits

The same service costs 39.8 times more in Indiana than in Oregon. 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.

Iowa· 21st of 33

$117

IN $955OR $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.