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CT Scan Procedure With No Standard Listing

West 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?

$105

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $100 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 4 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$105$100 to $123
FacilityA hospital or hospital-owned outpatient department$100$100 to $182

How much rates vary

Facilitymedian $100 · 10th to 90th $100 to $447Professionalmedian $105 · 10th to 90th $100 to $141
$100$1K$10K$100Kfacility $100professional $105

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
$100.00
Median
$100.00
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$104.71
Typical High
$141.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$87.10
Typical High
$81,283.05
CareSource
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$173.78
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$147.91
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$181.97
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$194.98

Where West 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.

West Virginia· 47th of 51

$105

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.