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Indiana rates for HCPCS 76497

Unlisted computed tomography procedure (eg, diagnostic, interventional)

Facilitymedian $646 · 10th–90th $74–$1,6600%20%10th90th$646Professionalmedian $115 · 10th–90th $85–$3630%50%10th90th$115$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $645.65 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $114.82 / $371.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $85.11 / $102.33
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $85.11 / $74,131.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $263.03 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $138.04 / $269.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $691.83 / $812.83