go back

CT Scan of Abdomen and Pelvis, Without IV Contrast

Alaska rates for HCPCS 74176

A detailed cross-sectional imaging exam of the abdomen and pelvis using X-rays, performed without contrast dye injected into a vein. A contrast drink may still be given to outline the bowel. It gives a clear picture of the organs, bones and other structures in this area and is used to investigate pain, injury, or suspected abnormalities.

Rates data updated July 2026.

Facilitymedian $372 · 10th–90th $263$6170%10%20%10th90th$372Professionalmedian $257 · 10th–90th $89$7410%5%10th90th$257$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$263.03
Median
$371.54
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$208.93
Typical High
$758.58
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$67.61
Median
$89.13
Typical High
$371.54
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$91.20
Median
$120.23
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$457.09
Typical High
$676.08
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$69.18
Median
$141.25
Typical High
$281.84
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$154.88
Median
$302.00
Typical High
$389.05
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$549.54
Typical High
$1,230.27
Moda Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$213.80
Median
$257.04
Typical High
$602.56
Moda Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$234.42
Median
$281.84
Typical High
$616.60
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$758.58
Typical High
$1,258.93
Premera BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$302.00
Median
$331.13
Typical High
$549.54
Premera BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$389.05
Median
$426.58
Typical High
$707.95
Providence
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$467.74
Typical High
$630.96
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$69.18
Median
$138.04
Typical High
$281.84
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$104.71
Median
$302.00
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$501.19
Typical High
$1,513.56
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$95.50
Median
$245.47
Typical High
$676.08
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$120.23
Median
$275.42
Typical High
$912.01