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Utah rates for HCPCS 75557

Cardiac magnetic resonance imaging for morphology and function without contrast material;

Facilitymedian $129 · 10th–90th $129–$1290%50%$129Professionalmedian $457 · 10th–90th $257–$1,8200%10%20%10th90th$457$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $478.63 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $457.09 / $707.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $851.14
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $478.63 / $707.95
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $467.74 / $851.14
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $269.15 / $602.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $354.81 / $645.65