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CT Scan Procedure With No Standard Listing

Ohio 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?

$115

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $692 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 8 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$107$100 to $170
FacilityA hospital or hospital-owned outpatient department$692$110 to $1,096

How much rates vary

Facilitymedian $692 · 10th to 90th $79 to $1,820Professionalmedian $107 · 10th to 90th $79 to $437
$0.1$1$10$100$1Kfacility $692professional $107

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
$79.43
Median
$724.44
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$107.15
Typical High
$724.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$87.10
CareSource
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$79.43
Typical High
$72,443.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$346.74
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$138.04
Typical High
$316.23
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$1,071.52
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$134.90
Typical High
$275.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$117.49
Typical High
$275.42
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$70.79
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$69.18
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$194.98
Typical High
$676.08

Where Ohio 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.

Ohio· 38th of 51

$115

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.