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CT Scan Procedure With No Standard Listing

Iowa 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?

$117

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $200 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 6 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$117$105 to $234
FacilityA hospital or hospital-owned outpatient department$200$112 to $240

How much rates vary

Facilitymedian $200 · 10th to 90th $107 to $398Professionalmedian $117 · 10th to 90th $100 to $324
$100$200$500$1K$2Kfacility $200professional $117

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
$107.15
Median
$107.15
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$114.82
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$407.38
Typical High
$501.19
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$213.80
Typical High
$2,511.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$281.84
Typical High
$660.69
Midlands
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$234.42
Typical High
$281.84
Midlands
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$257.04
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$190.55
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$194.98
Typical High
$602.56

Where Iowa 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.

Iowa· 31st of 51

$117

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.