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Washington rates for HCPCS 75571

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

Facilitymedian $52 · 10th–90th $32$1700%10%10th90th$52Professionalmedian $85 · 10th–90th $28$2820%5%10th90th$85$10.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$31.62 / $51.29 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $134.90 / $501.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $40.74 / $100.00
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $89.13 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $204.17 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $50.12 / $54.95
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $218.78 / $302.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $57.54 / $81.28
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $158.49 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $165.96 / $331.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $42.66 / $81.28
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $125.89 / $245.47
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$30.90 / $53.70 / $169.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $194.98 / $275.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $50.12 / $69.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $141.25 / $213.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $51.29
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $57.54 / $134.90
Premera BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $204.17 / $295.12
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $56.23 / $79.43
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $158.49 / $218.78
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $208.93 / $295.12
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $57.54 / $77.62
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $154.88 / $213.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $120.23 / $275.42
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $33.11 / $77.62
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $85.11 / $199.53
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $120.23 / $223.87
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $30.90 / $54.95
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $89.13 / $169.82