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Ohio rates for HCPCS 75571

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

Facilitymedian $37 · 10th–90th $28$550%20%10th90th$37Professionalmedian $72 · 10th–90th $28$1860%10%10th90th$72$0.5$2.0$10.0$50.0$200.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$27.54 / $37.15 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $123.03 / $275.42
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $41.69 / $81.28
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $85.11 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $26.92 / $45.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $93.33 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $34.67 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $58.88 / $109.65
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $114.82 / $186.21
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $32.36 / $52.48
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $81.28 / $134.90
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $83.18 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $131.83 / $251.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $37.15 / $64.57
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $93.33 / $181.97
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$6.76 / $31.62 / $44.67
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $128.82 / $239.88
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $35.48 / $66.07
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $93.33 / $173.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $32.36 / $39.81
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$107.15 / $107.15 / $107.15
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $79.43 / $134.90
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $33.11 / $57.54
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $45.71 / $77.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $107.15 / $190.55
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $31.62 / $60.26
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $77.62 / $138.04