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CT Scan Procedure With No Standard Listing

North Carolina 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?

$126

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $275 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$105$100 to $170
FacilityA hospital or hospital-owned outpatient department$275$120 to $1,023

How much rates vary

Facilitymedian $275 · 10th to 90th $100 to $1,259Professionalmedian $105 · 10th to 90th $87 to $275
$100$200$500$1K$2Kfacility $275professional $105

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
$85.11
Median
$645.65
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$104.71
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$338.84
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$162.18
Typical High
$323.59
Medcost
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$131.83
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$154.88
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$316.23
Typical High
$812.83
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,630.27
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$912.01

Where North Carolina 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.

North Carolina· 23rd of 51

$126

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.