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Limited Follow-Up CT Scan

Maryland 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?

$129

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $129 for this service. Most negotiated rates run $115 to $186.

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 $129 · 10th to 90th $59 to $214
$50$100$200$500professional $129

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
$114.82
Median
$125.89
Typical High
$218.78
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$39.81
Typical High
$64.57
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$75.86
Median
$85.11
Typical High
$138.04
CareFirst
Setting
Professional
Modifier
None (both parts)
Typical Low
$58.88
Median
$128.82
Typical High
$186.21
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$107.15
Median
$112.20
Typical High
$147.91
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$117.49
Median
$208.93
Typical High
$363.08
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$38.02
Typical High
$89.13
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$79.43
Median
$144.54
Typical High
$251.19
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$162.18
Typical High
$213.80
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$52.48
Typical High
$69.18
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$93.33
Median
$109.65
Typical High
$147.91
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$97.72
Median
$151.36
Typical High
$338.84
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.88
Median
$46.77
Typical High
$109.65
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$66.07
Median
$114.82
Typical High
$229.09
Wellpoint
Setting
Professional
Modifier
None (both parts)
Typical Low
$107.15
Median
$107.15
Typical High
$218.78
Wellpoint
Setting
Professional
Modifier
26 · Professional part
Typical Low
$35.48
Median
$35.48
Typical High
$70.79
Wellpoint
Setting
Professional
Modifier
TC · Technical part
Typical Low
$70.79
Median
$70.79
Typical High
$147.91
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
$57.54
Median
$61.66
Typical High
$64.57
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$22.91
Median
$25.12
Typical High
$26.30
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$93.33
Median
$100.00
Typical High
$100.00

Where Maryland 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.

Maryland· 47th of 51

$129

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.