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Hawaii rates for HCPCS 75571

Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium

Facilitymedian $31 · 10th–90th $28$360%10%20%10th90th$31Professionalmedian $85 · 10th–90th $27$2750%5%10th90th$85$20.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$27.54 / $30.90 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $120.23 / $549.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $35.48 / $91.20
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $85.11 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $102.33 / $177.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $32.36 / $52.48
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $74.13 / $138.04
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $144.54 / $151.36
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $36.31 / $38.02
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $107.15 / $112.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $131.83 / $165.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $32.36 / $40.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $100.00 / $123.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $147.91 / $676.08
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $45.71 / $223.87
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $104.71 / $512.86
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $154.88 / $190.55
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $39.81 / $60.26
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $107.15 / $141.25