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Limited Follow-Up CT Scan

Indiana 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?

$148

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $240 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$148$129 to $204
FacilityA hospital or hospital-owned outpatient department$240$182 to $646

How much rates vary

Facilitymedian $240 · 10th to 90th $151 to $1,288Professionalmedian $148 · 10th to 90th $123 to $269
$100$200$500$1K$2Kfacility $240professional $148

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
$162.18
Median
$309.03
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$123.03
Median
$128.82
Typical High
$245.47
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$45.71
Typical High
$58.88
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$79.43
Median
$83.18
Typical High
$123.03
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$42.66
Typical High
$42.66
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$239.88
Typical High
$467.74
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$117.49
Median
$147.91
Typical High
$223.87
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$63.10
Typical High
$87.10
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$70.79
Median
$83.18
Typical High
$128.82
CareSource
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$83.18
Typical High
$128.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$275.42
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$128.82
Median
$204.17
Typical High
$323.59
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$56.23
Typical High
$104.71
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$85.11
Median
$151.36
Typical High
$208.93
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$407.38
Typical High
$2,089.30
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None (both parts)
Typical Low
$144.54
Median
$186.21
Typical High
$257.04
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
26 · Professional part
Typical Low
$48.98
Median
$64.57
Typical High
$87.10
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
TC · Technical part
Typical Low
$97.72
Median
$123.03
Typical High
$169.82
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$128.82
Median
$177.83
Typical High
$309.03
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$51.29
Typical High
$97.72
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$85.11
Median
$123.03
Typical High
$213.80
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
$61.66
Median
$64.57
Typical High
$83.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$24.55
Median
$25.70
Typical High
$33.11
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$97.72
Median
$109.65
Typical High
$128.82

Where Indiana 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.

Indiana· 41st of 51

$148

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.