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Sinus CT Scan Cost in the US (2026): What 1,215 Hospitals NegotiatedNPI VERIFIED

Across 1,215 US hospitals that publish federally required price files, the median negotiated rate for a CT scan of the face and sinuses is $296 — 2.8× the Medicare outpatient rate of $107. The middle half of hospitals negotiated between $131 and $906; the priciest tenth negotiated more than $1,472, 14.2× the cheapest tenth (under $104). Hospitals that list a self-pay price ask a median of $1,033 (964 hospitals).

Code CPT 70486 · Source: hospital machine-readable files (45 CFR §180), file dates 2022-11-12 to 2026-09-28 (median 2026-04-01) · Medicare baseline: CMS OPPS Addendum B, July 2026 · Data extracted 2026-10-06 · Page updated 2026-10-07

National median
$296
all plan types · 1,215 hospitals
Middle half
$131–$906
25th–75th percentile of hospitals
Median cash price
$1,033
self-pay · 964 hospitals list one
Medicare baseline
$107
CMS OPPS national · July 2026
These are contract reference rates, not your bill. A median across hospitals is not a quote for your plan or network. Your out-of-pocket cost depends on your deductible, coinsurance and network status.
This is the hospital's facility fee. The radiologist who reads the images bills separately.
Coverage: 1,215 of the 5,419 hospitals in the CMS roster have an identity-verified price file with this procedure in our data. It is not a random sample, and a hospital missing here has not been judged non-compliant — we may simply not have its file yet. 92 of these 1,215 hospital files were more than 12 months old at extraction — hospitals must update yearly; we keep the figures and say so rather than hide them.

By insurance type

Insurance typeHospitalsMedianMiddle half× Medicare
Commercial (plan type not stated)736$874$281 – $1,5398.2×
PPO778$742$341 – $1,4646.9×
HMO522$488$274 – $1,1964.6×
EPO124$928$227 – $1,7538.7×
POS58$625$269 – $1,1485.9×
ACA Marketplace478$240$161 – $7142.3×
Medicare Advantage693$118$104 – $6291.1×
Medicare (as listed)683$111$104 – $1801.0×
Medicaid769$228$125 – $6372.1×
Federal employees (FEP)22$875$875 – $1,4988.2×
Workers' comp136$631$221 – $1,4955.9×

Plan types are grouped from each hospital's plan names. Each figure is a median of hospital-level medians; types with fewer than 20 hospitals are left out.

By state

StateHospitalsMedianMiddle halfSpread (shared scale $0–$2,000)× MedicareMedian cash
Alabama17$94$94 – $990.9×$730
Arizona12$121$118 – $4281.1×$430
Arkansas15$404$125 – $4793.8×$1,018
California43$206$134 – $6441.9×$1,049
Colorado8$534$182 – $1,3875.0×$663
Florida49$191$117 – $2311.8×$1,269
Georgia32$202$182 – $7231.9×$731
Hawaii8$202$105 – $3701.9×$870
Idaho12$782$548 – $9187.3×$1,048
Illinois46$665$233 – $1,2046.2×$1,496
Indiana27$374$228 – $4583.5×$891
Iowa47$871$476 – $1,2858.2×$1,260
Kansas45$758$547 – $1,0687.1×$909
Kentucky42$468$303 – $6644.4×$1,039
Louisiana28$281$153 – $5322.6×$908
Maine8$686$297 – $9896.4×$823
Maryland9$143$94 – $1561.3×$140
Massachusetts9$245$174 – $6622.3×$1,222
Michigan32$122$104 – $1971.1×$889
Minnesota30$1,132$523 – $1,41610.6×$1,392
Mississippi23$97$91 – $1470.9×$704
Missouri29$170$109 – $5601.6×$1,213
Montana19$868$386 – $1,3908.1×$1,302
Nebraska30$1,338$216 – $2,00012.5×$1,830
Nevada8$220$220 – $4352.1×$2,639
New Hampshire6$505$212 – $7914.7×$3,708
New Jersey22$224$165 – $2502.1×$505
New Mexico17$696$172 – $1,5386.5×$1,023
New York38$167$135 – $2681.6×$676
North Carolina22$322$107 – $5603.0×$1,024
North Dakota14$1,087$902 – $1,38110.2×$1,066
Ohio58$207$107 – $3111.9×$888
Oklahoma37$231$105 – $6872.2×$1,116
Oregon22$214$154 – $4112.0×$920
Pennsylvania59$160$126 – $5331.5×$1,083
Puerto Rico5$135$98 – $1431.3×$261
Rhode Island5$204$192 – $2261.9×$752
South Carolina27$109$104 – $2611.0×$1,379
South Dakota11$1,921$1,616 – $2,04218.0×$2,084
Tennessee23$104$102 – $1501.0×$532
Texas104$446$144 – $9774.2×$1,030
Utah21$1,454$1,392 – $1,57813.6×$1,547
Vermont9$1,551$1,001 – $2,08514.5×$1,989
Virginia19$297$205 – $7522.8×$776
Washington16$716$467 – $1,0956.7×$1,245
West Virginia8$940$107 – $1,5448.8×$1,179
Wisconsin27$619$285 – $8985.8×$1,020
Wyoming9$1,459$1,304 – $2,33313.7×$1,582

middle half of hospitalsstate medianMedicare rate · a dotted end means the range runs past $2,000

States with at least 5 hospitals in our data (48 states). 3 smaller states are counted in the national figures but not listed — a median of two or three hospitals says more about those hospitals than about the state.

Get the data

Hospital-level and insurer-level rates for this procedure are in the full dataset. A free three-procedure sample (brain MRI, head CT, diagnostic colonoscopy) is open under CC BY 4.0: DOI 10.5281/zenodo.23199844 · Kaggle.

Frequently asked questions

How much does a CT scan of the face and sinuses cost in the US?
Across 1,215 hospitals that publish federally required price files, the median negotiated rate is $296, and the middle half of hospitals fall between $131 and $906. Self-pay cash prices have a median of $1,033 across the 964 hospitals that list one. What you pay out of pocket depends on your deductible, coinsurance and network.
Why do Sinus CT Scan prices vary so much?
Each hospital negotiates separately with each insurer. In these files the priciest tenth of hospitals negotiated more than 14.2 times what the cheapest tenth did, and state medians run from $94 in Alabama to $1,921 in South Dakota.
Is the cash price cheaper than using insurance?
Sometimes. At 222 of the 964 hospitals that list a cash price (23%), it is lower than that hospital's own median negotiated rate. If you have a high deductible, ask the hospital for its self-pay price before you book.
What is the Medicare rate shown here?
$107 is the CMS national outpatient (OPPS) payment rate for this service (July 2026). We show it as a government baseline: the national median negotiated rate is 2.8 times it.

Other imaging prices

Brain MRI
median $799 · 1,185 hospitals
Knee MRI
median $567 · 1,191 hospitals
Lower Back MRI
median $528 · 1,186 hospitals
Neck MRI
median $533 · 1,177 hospitals
Head CT Scan
median $303 · 1,227 hospitals
Chest CT Scan
median $448 · 1,215 hospitals
Abdomen & Pelvis CT Scan
median $676 · 1,225 hospitals
Abdominal Ultrasound
median $217 · 1,213 hospitals
Chest X-Ray
median $112 · 1,210 hospitals
Lower Back X-Ray
median $157 · 1,206 hospitals

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