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Heart CT Scan For A Heart Defect

Massachusetts rates for HCPCS 75573

A detailed CT scan of the heart with contrast dye, done to map the anatomy in a person born with a heart defect. It shows how the chambers, valves and great vessels are arranged and connected, with three-dimensional reconstructions and assessment of pumping function and surrounding blood vessels when performed. It is used to plan or follow up treatment for congenital heart disease.

Rates data updated October 2026.

How much does Heart CT Scan For A Heart Defect cost?

$447

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $339 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$457$339 to $813
FacilityA hospital or hospital-owned outpatient department$339$240 to $537

How much rates vary

Facilitymedian $339 · 10th to 90th $162 to $1,288Professionalmedian $457 · 10th to 90th $229 to $1,905
$200$500$1K$2K$5Kfacility $339professional $457

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$1,288.25
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$269.15
Median
$269.15
Typical High
$416.87
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$93.33
Median
$93.33
Typical High
$141.25
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$177.83
Median
$177.83
Typical High
$269.15
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$1,122.02
Typical High
$1,380.38
AllWays Health Partners
Setting
Facility
Modifier
26 · Professional part
Typical Low
$107.15
Median
$467.74
Typical High
$489.78
AllWays Health Partners
Setting
Facility
Modifier
TC · Technical part
Typical Low
$173.78
Median
$831.76
Typical High
$870.96
AllWays Health Partners
Setting
Professional
Modifier
None (both parts)
Typical Low
$338.84
Median
$776.25
Typical High
$1,905.46
AllWays Health Partners
Setting
Professional
Modifier
26 · Professional part
Typical Low
$109.65
Median
$275.42
Typical High
$758.58
AllWays Health Partners
Setting
Professional
Modifier
TC · Technical part
Typical Low
$213.80
Median
$512.86
Typical High
$1,148.15
BCBS Massachusetts
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$575.44
Typical High
$891.25
BCBS Massachusetts
Setting
Professional
Modifier
None (both parts)
Typical Low
$229.09
Median
$229.09
Typical High
$954.99
BCBS Massachusetts
Setting
Professional
Modifier
26 · Professional part
Typical Low
$131.83
Median
$131.83
Typical High
$223.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$977.24
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$407.38
Median
$446.68
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$131.83
Median
$158.49
Typical High
$354.81
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$263.03
Median
$281.84
Typical High
$645.65
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$275.42
Typical High
$501.19
Fallon Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$154.88
Median
$309.03
Typical High
$512.86
Harvard Pilgrim
Setting
Professional
Modifier
None (both parts)
Typical Low
$371.54
Median
$588.84
Typical High
$977.24
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$134.90
Median
$223.87
Typical High
$371.54
Harvard Pilgrim
Setting
Professional
Modifier
TC · Technical part
Typical Low
$229.09
Median
$398.11
Typical High
$630.96
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$1,122.02
Typical High
$1,380.38
Mass General Brigham
Setting
Facility
Modifier
26 · Professional part
Typical Low
$107.15
Median
$467.74
Typical High
$489.78
Mass General Brigham
Setting
Facility
Modifier
TC · Technical part
Typical Low
$173.78
Median
$831.76
Typical High
$870.96
Mass General Brigham
Setting
Professional
Modifier
None (both parts)
Typical Low
$338.84
Median
$776.25
Typical High
$1,905.46
Mass General Brigham
Setting
Professional
Modifier
26 · Professional part
Typical Low
$109.65
Median
$275.42
Typical High
$758.58
Mass General Brigham
Setting
Professional
Modifier
TC · Technical part
Typical Low
$213.80
Median
$512.86
Typical High
$1,148.15
United
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$933.25
Typical High
$1,380.38
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$338.84
Median
$467.74
Typical High
$954.99
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$114.82
Median
$165.96
Typical High
$346.74
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$218.78
Median
$309.03
Typical High
$630.96
Well Sense
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$323.59
Typical High
$457.09
Well Sense
Setting
Facility
Modifier
26 · Professional part
Typical Low
$89.13
Median
$109.65
Typical High
$181.97
Well Sense
Setting
Facility
Modifier
TC · Technical part
Typical Low
$141.25
Median
$177.83
Typical High
$295.12
Well Sense
Setting
Professional
Modifier
None (both parts)
Typical Low
$144.54
Median
$144.54
Typical High
$173.78
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
CT · Older CT scanner
Typical Low
$229.09
Median
$229.09
Typical High
$269.15
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$213.80
Median
$213.80
Typical High
$251.19

Where Massachusetts sits

The same service costs 5.8 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Massachusetts· 19th of 51

$447

AK $1,148TX $200

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.