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Software Analysis Of Plaque In The Arteries

California rates for HCPCS 0712T

Software analysis of images from a CT scan of the arteries, which locates and measures the plaque built up in the artery walls and describes how much of it there is and what kind it is. It gives a measured account of the disease sitting in the vessel wall rather than only a visual impression of how narrow the channel looks.

Rates data updated July 2026.

How much does Software Analysis Of Plaque In The Arteries cost?

$30.90

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $30.90 for this service. The price depends on where it is billed: about $29.51 from a physician practice, and about $234 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$29.51$24.55 to $43.65
FacilityA hospital or hospital-owned outpatient department$234$166 to $316

How much rates vary

Facilitymedian $234 · 10th to 90th $123 to $589Professionalmedian $30 · 10th to 90th $22 to $85
$50$100$200$500$1K$2Kfacility $234professional $30

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
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$29.51
Typical High
$85.11
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$199.53
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$257.04
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$630.96
Typical High
$831.76
Providence
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$257.04
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$416.87
Typical High
$549.54

Where California sits

The same service costs 36.3 times more in Ohio than in South Carolina. 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· 43rd of 44

$30.90

OH $1,096SC $30.20

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.