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Wisconsin rates for HCPCS 75571

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

Facilitymedian $58 · 10th–90th $26$2510%10%10th90th$58Professionalmedian $93 · 10th–90th $30$3020%5%10th90th$93$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.70 / $52.48 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $123.03 / $302.00
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $48.98 / $97.72
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $89.13 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $154.88 / $575.44
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $42.66 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $112.20 / $416.87
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $89.13 / $125.89
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$72.44 / $85.11 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $288.40 / $416.87
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $72.44 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $204.17 / $302.00
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $223.87 / $302.00
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $60.26 / $81.28
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $162.18 / $223.87
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$257.04 / $257.04 / $257.04
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $186.21 / $660.69
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $57.54 / $173.78
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $134.90 / $489.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $114.82
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $218.78 / $407.38
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $64.57 / $102.33
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $154.88 / $302.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $234.42 / $346.74
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$64.57 / $251.19 / $251.19
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $630.96 / $660.69
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $173.78 / $173.78
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $446.68 / $489.78
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $588.84 / $660.69
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $95.50 / $154.88
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $229.09 / $457.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $194.98 / $776.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $97.72 / $223.87
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $117.49 / $562.34