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Pennsylvania rates for HCPCS 76497

Unlisted computed tomography procedure (eg, diagnostic, interventional)

Facilitymedian $363 · 10th–90th $100–$1,3800%10%10th90th$363Professionalmedian $123 · 10th–90th $87–$6170%20%10th90th$123$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $371.54 / $1,380.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $123.03 / $407.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64,565.42 / $64,565.42 / $64,565.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $204.17 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $151.36 / $331.13
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $295.12 / $346.74
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $269.15 / $954.99
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $114.82 / $302.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $14.45 / $32.36
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $14.45 / $32.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $257.04 / $295.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $602.56 / $38,018.94