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Limited Follow-Up CT Scan

Maine 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?

$178

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $891 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$178$145 to $240
FacilityA hospital or hospital-owned outpatient department$891$575 to $891

How much rates vary

Facilitymedian $891 · 10th to 90th $457 to $977Professionalmedian $178 · 10th to 90th $135 to $288
$100$200$500$1Kfacility $891professional $178

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$134.90
Median
$144.54
Typical High
$263.03
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$54.95
Typical High
$89.13
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$91.20
Median
$91.20
Typical High
$177.83
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$575.44
Typical High
$977.24
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$120.23
Median
$177.83
Typical High
$281.84
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$58.88
Typical High
$95.50
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$81.28
Median
$112.20
Typical High
$186.21
Cigna
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$177.83
Median
$186.21
Typical High
$380.19
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$53.70
Median
$58.88
Typical High
$100.00
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$120.23
Median
$125.89
Typical High
$257.04
Harvard Pilgrim
Setting
Professional
Modifier
None (both parts)
Typical Low
$162.18
Median
$194.98
Typical High
$275.42
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$54.95
Median
$67.61
Typical High
$89.13
Harvard Pilgrim
Setting
Professional
Modifier
TC · Technical part
Typical Low
$107.15
Median
$128.82
Typical High
$181.97
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$1,412.54
Martin's Point
Setting
Professional
Modifier
None (both parts)
Typical Low
$144.54
Median
$144.54
Typical High
$263.03
Martin's Point
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$54.95
Typical High
$89.13
Martin's Point
Setting
Professional
Modifier
TC · Technical part
Typical Low
$91.20
Median
$91.20
Typical High
$177.83
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$134.90
Median
$199.53
Typical High
$281.84
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$47.86
Median
$70.79
Typical High
$89.13
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$89.13
Median
$128.82
Typical High
$199.53
6 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
$56.23
Median
$72.44
Typical High
$72.44
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$22.39
Median
$28.84
Typical High
$28.84
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$91.20
Median
$117.49
Typical High
$117.49
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$56.23
Median
$72.44
Typical High
$72.44
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$22.39
Median
$28.84
Typical High
$28.84
Martin's Point
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$91.20
Median
$117.49
Typical High
$117.49

Where Maine 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.

Maine· 29th of 51

$178

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.