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Montana rates for HCPCS 75571

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

Facilitymedian $43 · 10th–90th $43$520%20%40%90th$43Professionalmedian $85 · 10th–90th $28$3160%5%10th90th$85$20.0$50.0$100.0$200.0$500.0

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
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $154.88 / $501.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $48.98 / $97.72
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $95.50 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $204.17
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$42.66 / $42.66 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $162.18 / $316.23
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.85 / $40.74 / $75.86
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $117.49 / $234.42
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $177.83 / $263.03
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$42.66 / $42.66 / $52.48
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $229.09 / $275.42
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $42.66 / $63.10
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $117.49 / $173.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $91.20 / $190.55
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $25.12 / $81.28
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $69.18 / $138.04