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CT Scan Procedure With No Standard Listing

Indiana 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 Indiana, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $646 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 5 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$112$100 to $135
FacilityA hospital or hospital-owned outpatient department$646$186 to $955

How much rates vary

Facilitymedian $646 · 10th to 90th $0 to $2,042Professionalmedian $112 · 10th to 90th $87 to $275
$0.1$1$10$100$1Kfacility $646professional $112

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
$186.21
Median
$645.65
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$112.20
Typical High
$275.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$85.11
Typical High
$102.33
CareSource
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$85.11
Typical High
$74,131.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$213.80
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$138.04
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$691.83
Typical High
$812.83

Where Indiana 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.

Indiana· 34th 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.