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CT Scan Procedure With No Standard Listing

South Dakota 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?

$257

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $1,175 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$245$115 to $407
FacilityA hospital or hospital-owned outpatient department$1,175$209 to $1,175

How much rates vary

Facilitymedian $1,175 · 10th to 90th $148 to $1,175Professionalmedian $245 · 10th to 90th $100 to $501
$100$200$500$1Kfacility $1,175professional $245

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
$75.86
Median
$1,819.70
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$407.38
Typical High
$501.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$177.83
Typical High
$275.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$234.42
Typical High
$660.69
Midlands
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$234.42
Typical High
$234.42
Midlands
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$109.65
Typical High
$138.04

Where South Dakota 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.

South Dakota· 3rd of 51

$257

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.