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CT Scan Procedure With No Standard Listing

Virginia 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?

$117

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $145 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 $200
FacilityA hospital or hospital-owned outpatient department$145$102 to $525

How much rates vary

Facilitymedian $145 · 10th to 90th $36 to $2,291Professionalmedian $107 · 10th to 90th $83 to $724
$20$100$500$2K$10Kfacility $145professional $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
$104.71
Median
$1,698.24
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$104.71
Typical High
$724.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$102.33
Typical High
$109.65
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$114.82
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$436.52
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$147.91
Typical High
$323.59
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$128.82
Typical High
$158.49
Medcost
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$138.04
Typical High
$275.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Sentara
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$109.65
Typical High
$354.81
Sentara
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$128.82
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$186.21
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$323.59
Typical High
$676.08

Where Virginia 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.

Virginia· 33rd of 51

$117

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.