Additional vessel selective angiogram

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Angiog.Sel. Each Add. Vessel

Payers reporting CPT 75774

Payer pricing summary

Low

Average

$1.1k

Median

$982

High

$3.0k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +32 other terms	333	$219	$555	$1.1k	197%	6–60	$0 – $9.5k
2	Aetna fee schedule · outpatient · +34 other terms	425	$244	$568	$865	152%	—	$1 – $11.5k
3	UnitedHealthcare fee schedule · outpatient · +35 other terms	249	$219	$635	$1.2k	194%	—	$1 – $7.8k
4	Humana fee schedule · outpatient · +28 other terms	186	$216	$428	$600	140%	—	$1 – $5.6k
5	Anthem fee schedule · outpatient · +23 other terms	136	$248	$405	$763	188%	—	$23 – $8.0k
6	Cigna fee schedule · outpatient · +29 other terms	134	$200	$601	$1.4k	235%	—	$1 – $11.1k
7	MultiPlan fee schedule · outpatient · +22 other terms	83	$2.1k	$2.0k	$1.7k	87%	—	$58 – $7.0k
8	Molina fee schedule · outpatient · +30 other terms	82	$142	$699	$1.3k	180%	—	$1 – $6.6k
9	Kaiser fee schedule · outpatient · +25 other terms	59	$96	$635	$1.1k	179%	—	$43 – $6.2k
10	Highmark facility · fee schedule · outpatient · +21 other terms	45	$45	$1.6k	$3.4k	211%	—	$24 – $17.8k
11	Amerihealth Caritas facility · fee schedule · outpatient · +14 other terms	38	$46	$1.2k	$2.6k	221%	—	$23 – $10.1k
12	First Health fee schedule · outpatient · +19 other terms	37	$1.8k	$2.1k	$1.3k	62%	—	$54 – $4.5k
13	WellCare fee schedule · both · +19 other terms	37	$90	$543	$1.1k	198%	—	$15 – $3.1k
14	Caresource fee schedule · outpatient · +18 other terms	34	$219	$279	$217	78%	—	$1 – $1.2k
15	Medicaid facility · fee schedule · outpatient · +14 other terms	30	$100	$758	$1.1k	149%	—	$23 – $3.5k
16	Aetna Better Health fee schedule · outpatient · +17 other terms	29	$128	$700	$1.3k	191%	—	$86 – $5.6k
17	Optum professional · fee schedule · outpatient · +18 other terms	29	$62	$56	$23	40%	—	$32 – $107
18	Ambetter fee schedule · both · +17 other terms	27	$80	$119	$153	129%	—	$30 – $1.6k
19	Medica fee schedule · outpatient · +19 other terms	27	$308	$273	$544	199%	—	$42 – $6.4k
20	Regence professional · fee schedule · outpatient · +15 other terms	27	$47	$58	$32	55%	—	$27 – $242
21	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$1.8k	$1.4k	$420	31%	—	$352 – $1.9k
22	Tricare facility · fee schedule · outpatient · +16 other terms	26	$2.4k	$3.9k	$8.0k	207%	—	$9 – $50k
23	Phcs fee schedule · outpatient · +15 other terms	22	$1.6k	$1.5k	$519	35%	—	$627 – $2.3k
24	Devoted fee schedule · outpatient · +13 other terms	21	$96	$82	$20	25%	—	$50 – $96
25	Ucare professional · fee schedule · outpatient · +11 other terms	20	$40	$55	$25	46%	—	$16 – $109

Page 1 of 3 · 66 payers