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CT Scan Procedure With No Standard Listing

Maine 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 Maine, July 2026.

Insurers have agreed to pay about $115 for this service. Most negotiated rates run $87.10 to $447.

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.

How much rates vary

Facilitymedian $891 · 10th to 90th $676 to $891Professionalmedian $95 · 10th to 90th $68 to $251
$100$200$500$1Kfacility $891professional $95

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
$676.08
Median
$891.25
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$87.10
Typical High
$123.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$169.82
Typical High
$588.84
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$891.25
Typical High
$891.25
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$114.82
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$275.42
Typical High
$676.08

Where Maine 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.

Maine· 39th 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.