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CT Scan of Abdomen and Pelvis, Without IV Contrast

Arkansas 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 $126 · 10th–90th $76$1350%50%10th90th$126Professionalmedian $151 · 10th–90th $83$3020%5%10%10th90th$151$20.0$50.0$100.0$200.0$500.0$1.0K

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
$75.86
Median
$125.89
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$275.42
Typical High
$446.68
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$67.61
Median
$109.65
Typical High
$213.80
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$93.33
Median
$141.25
Typical High
$229.09
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$281.84
Typical High
$316.23
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$60.26
Median
$128.82
Typical High
$151.36
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$141.25
Median
$165.96
Typical High
$194.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$223.87
Typical High
$288.40
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$89.13
Median
$102.33
Typical High
$131.83
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$104.71
Median
$120.23
Typical High
$154.88
CareSource
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$125.89
Typical High
$275.42
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$20.42
Median
$95.50
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$257.04
Typical High
$389.05
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$72.44
Median
$109.65
Typical High
$181.97
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$93.33
Median
$147.91
Typical High
$218.78
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$331.13
Typical High
$363.08
Qualchoice
Setting
Professional
Modifier
26 · Professional part
Typical Low
$69.18
Median
$158.49
Typical High
$199.53
Qualchoice
Setting
Professional
Modifier
TC · Technical part
Typical Low
$162.18
Median
$190.55
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$234.42
Typical High
$380.19
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$77.62
Median
$102.33
Typical High
$165.96
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$97.72
Median
$134.90
Typical High
$223.87