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Limited Follow-Up CT Scan

Utah 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 July 2026.

Facilitymedian $54 · 10th–90th $54$710%50%90th$54Professionalmedian $120 · 10th–90th $47$2510%5%10th90th$120$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$151.36
Typical High
$269.15
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$54.95
Typical High
$251.19
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$75.86
Median
$104.71
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$199.53
Typical High
$371.54
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$52.48
Typical High
$97.72
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$74.13
Median
$128.82
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$229.09
Regence BlueShield
Setting
Facility
Modifier
26 · Professional part
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$302.00
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$63.10
Median
$74.13
Typical High
$107.15
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$125.89
Median
$147.91
Typical High
$194.98
Select Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Select Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$190.55
Typical High
$213.80
Select Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$66.07
Typical High
$74.13
Select Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$81.28
Median
$123.03
Typical High
$141.25
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$134.90
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$154.88
Typical High
$269.15
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$42.66
Typical High
$83.18
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$83.18
Median
$107.15
Typical High
$194.98