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Limited Follow-Up CT Scan

New Hampshire 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?

$251

Typical negotiated rate. In New Hampshire, October 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $741 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$240$182 to $324
FacilityA hospital or hospital-owned outpatient department$741$589 to $832

How much rates vary

Facilitymedian $741 · 10th to 90th $457 to $832Professionalmedian $240 · 10th to 90th $141 to $457
$100$200$500$1Kfacility $741professional $240

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
Professional
Modifier
None (both parts)
Typical Low
$85.11
Median
$151.36
Typical High
$281.84
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$44.67
Typical High
$85.11
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$47.86
Median
$107.15
Typical High
$173.78
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$812.83
Typical High
$831.76
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$131.83
Median
$281.84
Typical High
$489.78
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$95.50
Typical High
$144.54
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$87.10
Median
$186.21
Typical High
$281.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$602.56
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$177.83
Median
$208.93
Typical High
$489.78
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$54.95
Median
$66.07
Typical High
$134.90
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$117.49
Median
$138.04
Typical High
$354.81
Harvard Pilgrim
Setting
Professional
Modifier
None (both parts)
Typical Low
$144.54
Median
$229.09
Typical High
$426.58
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$48.98
Median
$75.86
Typical High
$144.54
Harvard Pilgrim
Setting
Professional
Modifier
TC · Technical part
Typical Low
$95.50
Median
$158.49
Typical High
$281.84
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$181.97
Median
$208.93
Typical High
$398.11
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$48.98
Median
$64.57
Typical High
$120.23
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$123.03
Median
$144.54
Typical High
$257.04
Well Sense
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
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
$42.66
Median
$75.86
Typical High
$141.25
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$16.98
Median
$30.20
Typical High
$56.23
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$67.61
Median
$123.03
Typical High
$128.82

Where New Hampshire 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.

New Hampshire· 11th of 51

$251

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.