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CT Scan Procedure With No Standard Listing

Massachusetts 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?

$120

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $155 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 9 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$115$87.10 to $170
FacilityA hospital or hospital-owned outpatient department$155$112 to $224

How much rates vary

Facilitymedian $155 · 10th to 90th $69 to $372Professionalmedian $115 · 10th to 90th $69 to $275
$100$200$500$1K$2K$5Kfacility $155professional $115

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
$67.61
Median
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$104.71
Typical High
$275.42
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$218.78
Typical High
$2,630.27
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$660.69
Typical High
$660.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$173.78
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$549.54
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$162.18
Typical High
$354.81
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,951.21
Typical High
$8,511.38
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$123.03
Typical High
$177.83
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$173.78
Typical High
$223.87
Health New England
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$218.78
Typical High
$2,630.27
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$660.69
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$138.04
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$190.55
Typical High
$691.83

Where Massachusetts 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.

Massachusetts· 29th of 51

$120

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.