Software Analysis Of Plaque In The Arteries

Nationwide rates for HCPCS 0713T

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?

$263

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $162 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 18 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$269	$240 to $363
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$162	$28.84 to $398

How much rates vary

Facilitymedian $162 · 10th to 90th $0 to $10,000Professionalmedian $269 · 10th to 90th $115 to $501

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $128.82 Median $223.87 Typical High $323.59	Facility	Global	$128.82	$223.87	$323.59
Aetna Setting Professional Modifier Global Typical Low $120.23 Median $162.18 Typical High $162.18	Professional	Global	$120.23	$162.18	$162.18
BCBS Setting Facility Modifier Global Typical Low $363.08 Median $363.08 Typical High $691.83	Facility	Global	$363.08	$363.08	$691.83
BCBS Setting Professional Modifier Global Typical Low $123.03 Median $269.15 Typical High $489.78	Professional	Global	$123.03	$269.15	$489.78
Cigna Setting Professional Modifier Global Typical Low $295.12 Median $346.74 Typical High $346.74	Professional	Global	$295.12	$346.74	$346.74

What it costs in each state

The same service costs 812830.5 times more in New Jersey than in Rhode Island. 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.

Touch or drag across the chart to see any state's rate.

NJ $16,218RI $0.02

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.