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CT Scan Procedure With No Standard Listing

Utah 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?

$123

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $1,000 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 6 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$89.13 to $155
FacilityA hospital or hospital-owned outpatient department$1,000$141 to $2,188

How much rates vary

Facilitymedian $1,000 · 10th to 90th $89 to $2,884Professionalmedian $110 · 10th to 90th $89 to $200
$50$100$200$500$1K$2K$5Kfacility $1,000professional $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
$89.13
Median
$1,230.27
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$97.72
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$524.81
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$104.71
Typical High
$338.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$281.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$199.53
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$131.83
Typical High
$181.97

Where Utah 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.

Utah· 26th of 51

$123

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.