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CT Scan Procedure With No Standard Listing

New Jersey 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?

$105

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $302 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 4 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$85.11 to $141
FacilityA hospital or hospital-owned outpatient department$302$120 to $1,349

How much rates vary

Facilitymedian $302 · 10th to 90th $89 to $1,413Professionalmedian $105 · 10th to 90th $69 to $224
$100$200$500$1K$2K$5K$10Kfacility $302professional $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
$69.18
Median
$354.81
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$100.00
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$239.88
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$158.49
Typical High
$363.08
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$10,471.29
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$208.93
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$131.83
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$190.55
Typical High
$691.83

Where New Jersey 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.

New Jersey· 44th of 51

$105

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.