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Limited Follow-Up CT Scan

Hawaii 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?

$200

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $200 for this service. Most negotiated rates run $178 to $240.

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.

How much rates vary

Professionalmedian $200 · 10th to 90th $132 to $257
$100$200professional $200

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
Professional
Modifier
None (both parts)
Typical Low
$131.83
Median
$169.82
Typical High
$354.81
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$53.70
Median
$60.26
Typical High
$60.26
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
HMSA
Setting
Professional
Modifier
None (both parts)
Typical Low
$75.86
Median
$239.88
Typical High
$257.04
HMSA
Setting
Professional
Modifier
26 · Professional part
Typical Low
$60.26
Median
$61.66
Typical High
$64.57
HMSA
Setting
Professional
Modifier
TC · Technical part
Typical Low
$177.83
Median
$177.83
Typical High
$186.21
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$173.78
Typical High
$281.84
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$50.12
Median
$53.70
Typical High
$89.13
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$109.65
Median
$120.23
Typical High
$194.98
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$190.55
Median
$190.55
Typical High
$213.80
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$131.83
Median
$131.83
Typical High
$141.25
University Health Alliance
Setting
Professional
Modifier
None (both parts)
Typical Low
$120.23
Median
$229.09
Typical High
$295.12
University Health Alliance
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$77.62
Typical High
$89.13
University Health Alliance
Setting
Professional
Modifier
TC · Technical part
Typical Low
$79.43
Median
$151.36
Typical High
$208.93

Where Hawaii 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.

Hawaii· 22nd of 51

$200

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.