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Limited Follow-Up CT Scan

Tennessee 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?

$263

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $263 for this service. Most negotiated rates run $151 to $1,096.

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

Facilitymedian $339 · 10th to 90th $204 to $794Professionalmedian $257 · 10th to 90th $110 to $1,148
$100$200$500$1Kfacility $339professional $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
$309.03
Median
$323.59
Typical High
$794.33
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$229.09
Median
$380.19
Typical High
$416.87
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$144.54
Median
$275.42
Typical High
$323.59
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$47.86
Median
$54.95
Typical High
$97.72
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$95.50
Median
$218.78
Typical High
$229.09
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$66.07
Typical High
$72.44
BCBS Tennessee
Setting
Professional
Modifier
None (both parts)
Typical Low
$93.33
Median
$169.82
Typical High
$323.59
BCBS Tennessee
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$58.88
Typical High
$100.00
BCBS Tennessee
Setting
Professional
Modifier
TC · Technical part
Typical Low
$79.43
Median
$123.03
Typical High
$223.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$371.54
Typical High
$478.63
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$97.72
Median
$165.96
Typical High
$346.74
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$53.70
Typical High
$102.33
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$64.57
Median
$104.71
Typical High
$239.88
Lucent Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,148.15
Lucent Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$288.40
Median
$288.40
Typical High
$371.54
Lucent Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$794.33
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$134.90
Median
$177.83
Typical High
$295.12
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$54.95
Typical High
$100.00
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$87.10
Median
$120.23
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
Facility
Modifier
52 · Reduced service
Typical Low
$158.49
Median
$190.55
Typical High
$208.93
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$63.10
Median
$75.86
Typical High
$83.18
Aetna
Setting
Facility
Modifier
FX · Film X-ray
Typical Low
$257.04
Median
$302.00
Typical High
$331.13
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$74.13
Median
$138.04
Typical High
$162.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$29.51
Median
$54.95
Typical High
$66.07
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$109.65
Median
$218.78
Typical High
$263.03

Where Tennessee 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.

Tennessee· 7th of 51

$263

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.