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CT Scan Procedure With No Standard Listing

Montana 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?

$132

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $191 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 6 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$132$112 to $191
FacilityA hospital or hospital-owned outpatient department$191$170 to $263

How much rates vary

Facilitymedian $191 · 10th to 90th $132 to $398Professionalmedian $132 · 10th to 90th $93 to $275
$100$1K$10K$100Kfacility $191professional $132

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
Professional
Modifier
Global
Typical Low
$93.33
Median
$131.83
Typical High
$275.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$177.83
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$263.03
Typical High
$346.74
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$190.55
Typical High
$288.40
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$190.55
Typical High
$288.40
Providence
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$169.82
Typical High
$281.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$151.36
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$676.08
Typical High
$812.83

Where Montana 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.

Montana· 18th of 51

$132

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.