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CT Scan Procedure With No Standard Listing

California rates for HCPCS 76497

Covers a CT scan, or a procedure guided by CT, that does not match any of the standard named studies. CT uses X-rays taken from many angles around the body and assembles them by computer into detailed cross-sectional pictures. Because it stands in for something unusual, a written description of exactly what was performed accompanies it.

Rates data updated July 2026.

How much does CT Scan Procedure With No Standard Listing cost?

$115

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $229 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$107$85.11 to $170
FacilityA hospital or hospital-owned outpatient department$229$126 to $1,820

How much rates vary

Facilitymedian $229 · 10th to 90th $83 to $2,630Professionalmedian $107 · 10th to 90th $76 to $490
$50$100$200$500$1K$2K$5Kfacility $229professional $107

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,819.70
Typical High
$2,951.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$107.15
Typical High
$302.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$57.54
Typical High
$58.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$165.96
Typical High
$467.74
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$218.78
Typical High
$407.38
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$60.26
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$295.12
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$158.49
Typical High
$346.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$630.96
Typical High
$1,698.24
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,630.27
Typical High
$2,630.27
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$912.01
Typical High
$912.01
Providence
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$147.91
Typical High
$288.40
Providence
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$144.54
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$169.82
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$323.59
Typical High
$676.08

Where California sits

The same service costs 3.5 times more in Louisiana than in Vermont. 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.

California· 37th of 51

$115

LA $302VT $87.10

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.