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Utah rates for HCPCS 75571

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

Facilitymedian $30 · 10th–90th $30$300%50%$30Professionalmedian $69 · 10th–90th $28$2820%5%10th90th$69$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $123.03 / $501.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $37.15 / $85.11
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $85.11 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $107.15 / $223.87
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $33.88 / $72.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $74.13 / $158.49
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $154.88
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $169.82 / $223.87
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $45.71 / $63.10
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $125.89 / $158.49
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $151.36 / $204.17
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $56.23 / $67.61
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $93.33 / $123.03
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $104.71 / $173.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $91.20 / $181.97
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $25.12 / $48.98
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $67.61 / $134.90