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Limited Follow-Up CT Scan

Ohio 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?

$141

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $372 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$138$123 to $182
FacilityA hospital or hospital-owned outpatient department$372$288 to $724

How much rates vary

Facilitymedian $372 · 10th to 90th $191 to $1,259Professionalmedian $138 · 10th to 90th $83 to $251
$50$100$200$500$1Kfacility $372professional $138

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
$288.40
Median
$436.52
Typical High
$1,288.25
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$45.71
Median
$131.83
Typical High
$162.18
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$138.04
Median
$229.09
Typical High
$346.74
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$128.82
Median
$144.54
Typical High
$457.09
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$45.71
Typical High
$162.18
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$83.18
Median
$83.18
Typical High
$234.42
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$42.66
Typical High
$69.18
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$123.03
Median
$138.04
Typical High
$239.88
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$47.86
Median
$50.12
Typical High
$85.11
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$79.43
Median
$89.13
Typical High
$162.18
Aultcare
Setting
Professional
Modifier
None (both parts)
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$269.15
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$128.82
Median
$154.88
Typical High
$354.81
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$54.95
Typical High
$100.00
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$83.18
Median
$100.00
Typical High
$269.15
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$269.15
Typical High
$707.95
Medical Mutual of Ohio
Setting
Professional
Modifier
None (both parts)
Typical Low
$128.82
Median
$154.88
Typical High
$354.81
Medical Mutual of Ohio
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$54.95
Typical High
$93.33
Medical Mutual of Ohio
Setting
Professional
Modifier
TC · Technical part
Typical Low
$83.18
Median
$100.00
Typical High
$269.15
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$43.65
Median
$125.89
Typical High
$199.53
SummaCare
Setting
Professional
Modifier
None (both parts)
Typical Low
$128.82
Median
$141.25
Typical High
$239.88
SummaCare
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$50.12
Typical High
$74.13
SummaCare
Setting
Professional
Modifier
TC · Technical part
Typical Low
$83.18
Median
$91.20
Typical High
$151.36
United
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$208.93
Typical High
$295.12
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$125.89
Median
$154.88
Typical High
$275.42
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$48.98
Typical High
$93.33
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$81.28
Median
$112.20
Typical High
$194.98
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
Facility
Modifier
52 · Reduced service
Typical Low
$74.13
Median
$151.36
Typical High
$204.17
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$29.51
Median
$60.26
Typical High
$81.28
Aetna
Setting
Facility
Modifier
FX · Film X-ray
Typical Low
$104.71
Median
$245.47
Typical High
$295.12
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$64.57
Median
$64.57
Typical High
$223.87
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$26.30
Median
$26.30
Typical High
$89.13
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$104.71
Median
$104.71
Typical High
$147.91

Where Ohio 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.

Ohio· 45th of 51

$141

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.