Coronary CT Angiogram Cost: What You'll Really Pay in 2026

A coronary CT angiogram costs about $1,314 for the scan alone, based on the national average estimated by MDsave, a price-comparison site. U.S. hospitals post a median cash price of $1,183. So why do some search results show prices as low as $252? Here's what a CT angiogram really costs, and what the cheapest prices leave out.

You may also see this test called a CCTA test, a coronary CTA, a cardiac CT scan, or a heart CT scan with contrast. It's a CT scan that uses contrast dye to show the arteries around your heart, including soft plaque and narrowing.

How much does a CT angiogram cost?

Here's what a coronary CT angiogram costs in 2026, from the typical price to the lowest you'll see advertised.

At Veevo, a coronary CT angiogram is $1,199, below that national average. The price includes the doctor's referral, scheduling, the scan at an ACR-accredited center, a read by a board-certified radiologist, your scan images, and a doctor's review of your results. You can pay with HSA or FSA funds.

Why do some sites show prices as low as $252?

The low prices are real, but they aren't typical, and they may not be anywhere near you.

• It's one hospital. The $252 price on MDsave comes from a single hospital in Alabama.
• The listings are limited. As of October 2026, MDsave lists 115 providers for this scan, in 29 states and D.C., and none in California or New York. The average across its listings is $613.
• It covers the scan. You still need a doctor's order before the scan and a doctor to go over your results.

Even MDsave estimates the typical national price at $1,314, more than double the average of its own listings.

What's included in a CT angiogram price?

A scan price pays for the scan itself, and usually the radiologist's read. But getting a CT angiogram takes more steps than that. Large imaging chains such as SimonMed say they almost always need an order from your doctor first, and the radiologist sends the report to the doctor who ordered the scan.

Price also doesn't tell you about quality. Before you book anywhere, check three things:

• The scanner. Heart CT experts recommend at least a 64-slice scanner for this scan.
• Accreditation. Medicare only pays for advanced imaging like CT at non-hospital centers that are accredited.
• Who reads it. Ask whether a board-certified radiologist will read your scan.

Add-ons such as AI plaque analysis are usually billed on top. One cardiology practice charges an extra $850 for it. We think one price that covers every step is worth it, because it turns a scan into answers you can act on.

Does insurance cover a CT angiogram?

Usually yes, when your doctor orders it to check symptoms like chest pain. Heart guidelines list it as a first-line test for many people with stable chest pain, and insurers such as Aetna cover it for people with symptoms who meet their criteria.

Screening is different. If you have no symptoms, plans often treat the scan as optional. Aetna's policy, for example, calls coronary CT angiography for screening people without symptoms experimental and doesn't cover it.

When your plan does pay, here's how the math works. Say your plan's rate for the scan is $1,000. If you haven't met your deductible yet, you pay the full $1,000. If you have, and your plan has 20% coinsurance, you pay $200.

Does Medicare cover a CT angiogram?

Yes, when your doctor orders it to find or treat a medical problem. After you meet the $283 Part B deductible for 2026, you pay 20% of the Medicare-approved amount, plus a copay if the scan is done in a hospital outpatient department.

Medicare doesn't pay for screening scans. One Medicare contractor's coverage rules state plainly that Medicare does not cover a screening CT angiogram for people without symptoms.

How much does a heart CT scan cost without insurance?

Without insurance, you pay the cash price. For a coronary CT angiogram, that's typically about $1,200 to $1,300 for the scan alone, before a doctor's order or a results visit. A few habits help you pay less.

• Ask for the all-in self-pay price in writing, including the radiologist's read and a review of your results.
• Compare two or three places. Posted prices for the same scan vary widely from hospital to hospital.
• Use your HSA or FSA. A CT angiogram is a qualified medical expense, so you can pay with pre-tax dollars.

How does the cost compare with other heart tests?

On price, a coronary CT angiogram sits between a calcium score and an invasive coronary angiogram, where a doctor threads a thin tube through a blood vessel to your heart.

Is a CT angiogram worth the cost?

That depends on why you're getting one. If you have symptoms like chest pain, the evidence is strong. In the SCOT-HEART trial of 4,146 people with stable chest pain, adding a coronary CT angiogram to usual care lowered the rate of heart attack or death from heart disease over five years.

If you have no symptoms, the scan is a personal choice, and you'll usually pay for it yourself. The main reason to choose it is that it can show soft plaque, which a calcium score doesn't measure. Talk with your doctor about your family history and risk factors to decide whether it's right for you.

The bottom line

A coronary CT angiogram typically costs about $1,200 to $1,300 for the scan alone, and the lowest advertised prices are the exception. Compare all-in prices that include the doctor's order, the radiologist's read, and a doctor to explain your results, and use HSA or FSA dollars if you have them.