go back

Illinois rates for HCPCS 76380

Computed tomography, limited or localized follow-up study

Facilitymedian $83 · 10th–90th $48$2140%10%20%10th90th$83Professionalmedian $110 · 10th–90th $48$2630%5%10th90th$110$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$47.86 / $83.18 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $165.96 / $354.81
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $54.95 / $120.23
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $102.33 / $223.87
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $42.66 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $154.88 / $234.42
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $204.17 / $331.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $64.57 / $93.33
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $138.04 / $239.88
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $288.40 / $758.58
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $89.13 / $309.03
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $173.78 / $501.19
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $162.18 / $173.78
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $56.23 / $58.88
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $107.15 / $114.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $194.98 / $281.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $74.13 / $165.96
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $131.83 / $204.17