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CT Scan Procedure With No Standard Listing

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $148 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$117$95.50 to $138
FacilityA hospital or hospital-owned outpatient department$148$107 to $603

How much rates vary

Facilitymedian $148 · 10th to 90th $100 to $1,479Professionalmedian $117 · 10th to 90th $87 to $302
$100$200$500$1K$2Kfacility $148professional $117

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
$104.71
Median
$602.56
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$117.49
Typical High
$302.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$102.33
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$239.88
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$134.90
Typical High
$331.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$177.83
Typical High
$371.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$85.11
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$194.98
Typical High
$812.83

Where Missouri 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.

Missouri· 35th 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.