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CT Scan of Abdomen and Pelvis, Without IV Contrast

Connecticut 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 $316 · 10th–90th $251$3890%20%10th90th$316Professionalmedian $155 · 10th–90th $81$4790%10%10th90th$155$20.0$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
$251.19
Median
$316.23
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$302.00
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$64.57
Median
$87.10
Typical High
$263.03
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$114.82
Median
$173.78
Typical High
$398.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$407.38
Typical High
$588.84
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$83.18
Median
$158.49
Typical High
$218.78
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$112.20
Median
$245.47
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$331.13
Typical High
$645.65
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$89.13
Median
$123.03
Typical High
$218.78
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$147.91
Median
$204.17
Typical High
$380.19
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$288.40
Typical High
$346.74
ConnectiCare
Setting
Professional
Modifier
26 · Professional part
Typical Low
$93.33
Median
$120.23
Typical High
$169.82
ConnectiCare
Setting
Professional
Modifier
TC · Technical part
Typical Low
$123.03
Median
$162.18
Typical High
$213.80
Health New England
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$169.82
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$251.19
Typical High
$707.95
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$75.86
Median
$104.71
Typical High
$257.04
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$100.00
Median
$147.91
Typical High
$380.19