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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 October 2026.

How much does Limited Follow-Up CT Scan cost?

$105

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $251 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$105$79.43 to $132
FacilityA hospital or hospital-owned outpatient department$251$174 to $603

How much rates vary

Facilitymedian $251 · 10th to 90th $158 to $2,188Professionalmedian $105 · 10th to 90th $35 to $200
$50$100$200$500$1K$2Kfacility $251professional $105

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
$173.78
Median
$1,000.00
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$151.36
Median
$173.78
Typical High
$251.19
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$46.77
Median
$53.70
Typical High
$74.13
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$120.23
Typical High
$165.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$524.81
Typical High
$602.56
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$125.89
Median
$199.53
Typical High
$245.47
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$52.48
Typical High
$74.13
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$83.18
Median
$147.91
Typical High
$162.18
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.11
Median
$93.33
Typical High
$128.82
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$190.55
Typical High
$269.15
Regence BlueShield
Setting
Professional
Modifier
None (both parts)
Typical Low
$186.21
Median
$218.78
Typical High
$275.42
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$63.10
Median
$72.44
Typical High
$91.20
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$125.89
Median
$144.54
Typical High
$181.97
Select Health
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Select Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$123.03
Median
$204.17
Typical High
$338.84
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$128.82
Typical High
$257.04
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$125.89
Median
$162.18
Typical High
$245.47
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$42.66
Typical High
$81.28
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$83.18
Median
$102.33
Typical High
$186.21
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
$79.43
Median
$87.10
Typical High
$134.90
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$32.36
Median
$34.67
Typical High
$53.70
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$120.23
Median
$141.25
Typical High
$141.25

Where Utah 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.

Utah· 51st of 51

$105

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.