go back

CT Scan Procedure With No Standard Listing

Michigan 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?

$123

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $170 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$123$93.33 to $135
FacilityA hospital or hospital-owned outpatient department$170$135 to $309

How much rates vary

Facilitymedian $170 · 10th to 90th $98 to $309Professionalmedian $123 · 10th to 90th $76 to $275
$50$100$200$500facility $170professional $123

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
$102.33
Median
$169.82
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$123.03
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$165.96
Typical High
$407.38
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$128.82
Typical High
$169.82
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$74.13
Typical High
$194.98
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$407.38
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$112.20
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$275.42
Typical High
$812.83

Where Michigan 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.

Michigan· 24th of 51

$123

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.