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Limited Follow-Up CT Scan

Arizona rates for HCPCS 76380

This is a focused CT scan used to re-check a specific area that was already identified on a prior imaging study, rather than scanning the whole body region again. It is commonly used to track a known finding over time with less imaging than a full, complete scan.

Rates data updated October 2026.

How much does Limited Follow-Up CT Scan cost?

$174

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $389 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$174$151 to $316
FacilityA hospital or hospital-owned outpatient department$389$209 to $676

How much rates vary

Facilitymedian $389 · 10th to 90th $115 to $1,622Professionalmedian $174 · 10th to 90th $126 to $1,047
$100$200$500$1K$2Kfacility $389professional $174

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$812.83
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$144.54
Median
$158.49
Typical High
$239.88
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$54.95
Typical High
$70.79
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$100.00
Median
$104.71
Typical High
$165.96
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$37.15
Typical High
$43.65
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$380.19
Typical High
$575.44
BCBS Arizona
Setting
Professional
Modifier
None (both parts)
Typical Low
$151.36
Median
$151.36
Typical High
$288.40
BCBS Arizona
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$45.71
Typical High
$89.13
BCBS Arizona
Setting
Professional
Modifier
TC · Technical part
Typical Low
$104.71
Median
$104.71
Typical High
$204.17
Cigna
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$288.40
Typical High
$524.81
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$104.71
Median
$194.98
Typical High
$407.38
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$44.67
Typical High
$89.13
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$70.79
Median
$125.89
Typical High
$275.42
Medica
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$208.93
Typical High
$2,511.89
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$125.89
Median
$1,047.13
Typical High
$1,047.13
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$288.40
Typical High
$288.40
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$83.18
Median
$776.25
Typical High
$776.25
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$125.89
Median
$154.88
Typical High
$269.15
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$42.66
Typical High
$83.18
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$83.18
Median
$112.20
Typical High
$181.97
3 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$74.13
Median
$79.43
Typical High
$79.43
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$29.51
Median
$32.36
Typical High
$32.36
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$128.82
Median
$128.82
Typical High
$128.82

Where Arizona sits

The same service costs 4.3 times more in Alaska than in Utah. 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.

Arizona· 30th of 51

$174

AK $447UT $105

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.