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Limited Follow-Up CT Scan

South Dakota 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?

$257

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $204 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$257$214 to $295
FacilityA hospital or hospital-owned outpatient department$204$204 to $1,175

How much rates vary

Facilitymedian $204 · 10th to 90th $174 to $1,175Professionalmedian $257 · 10th to 90th $162 to $363
$100$200$500$1Kfacility $204professional $257

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
$89.13
Median
$89.13
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$120.23
Median
$120.23
Typical High
$177.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$204.17
Median
$316.23
Typical High
$398.11
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$67.61
Median
$109.65
Typical High
$131.83
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$134.90
Median
$213.80
Typical High
$269.15
Medica
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$204.17
Typical High
$323.59
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$162.18
Median
$269.15
Typical High
$1,047.13
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$53.70
Median
$89.13
Typical High
$288.40
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$117.49
Median
$177.83
Typical High
$776.25
Midlands
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$269.15
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$97.72
Median
$112.20
Typical High
$112.20
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$134.90
Median
$134.90
Typical High
$173.78
Midlands
Setting
Professional
Modifier
None (both parts)
Typical Low
$245.47
Median
$245.47
Typical High
$263.03
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$218.78
Typical High
$269.15
Sanford Health Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$56.23
Median
$74.13
Typical High
$87.10
Sanford Health Plan
Setting
Professional
Modifier
TC · Technical part
Typical Low
$117.49
Median
$151.36
Typical High
$190.55
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$162.18
Median
$263.03
Typical High
$309.03
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$48.98
Median
$87.10
Typical High
$102.33
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$107.15
Median
$173.78
Typical High
$204.17
Wellmark
Setting
Professional
Modifier
None (both parts)
Typical Low
$257.04
Median
$295.12
Typical High
$295.12
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$87.10
Median
$100.00
Typical High
$100.00
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$169.82
Median
$194.98
Typical High
$194.98

Where South Dakota 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.

South Dakota· 9th of 51

$257

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.