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CT Scan Procedure With No Standard Listing

New York 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?

$112

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $251 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 7 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$110$87.10 to $155
FacilityA hospital or hospital-owned outpatient department$251$112 to $1,072

How much rates vary

Facilitymedian $251 · 10th to 90th $87 to $1,202Professionalmedian $110 · 10th to 90th $72 to $603
$50$200$1K$5K$20Kfacility $251professional $110

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
$87.10
Median
$676.08
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$107.15
Typical High
$169.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$1,202.26
Typical High
$1,548.82
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$109.65
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$109.65
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$204.17
Typical High
$524.81
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$138.04
Typical High
$181.97
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$42,657.95
Median
$42,657.95
Typical High
$57,543.99
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$257.04
Typical High
$53,703.18
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$323.59
Typical High
$42,657.95

Where New York 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 York· 40th of 51

$112

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.