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Maine rates for HCPCS 75571

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

Facilitymedian $33 · 10th–90th $33$350%50%100%90th$33Professionalmedian $81 · 10th–90th $28$2090%5%10th90th$81$20.0$50.0$100.0$200.0$500.0$1.0K

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
$33.11 / $33.11 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $120.23 / $331.13
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $34.67 / $83.18
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $85.11 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $131.83 / $245.47
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $39.81 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $93.33 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $147.91 / $331.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $38.02 / $81.28
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $107.15 / $234.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $151.36 / $281.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $40.74 / $75.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $109.65 / $208.93
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$33.11 / $33.11 / $34.67
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $125.89 / $316.23
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $36.31 / $83.18
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $91.20 / $190.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $134.90 / $281.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $40.74 / $112.20
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $95.50 / $204.17