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CT Scan of Abdomen and Pelvis, Without IV Contrast

Hawaii 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 $98 · 10th–90th $81$3090%20%40%10th90th$98Professionalmedian $166 · 10th–90th $79$4790%10%10th90th$166$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
$81.28
Median
$97.72
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$269.15
Typical High
$295.12
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$51.29
Median
$109.65
Typical High
$275.42
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$104.71
Median
$120.23
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$251.19
Typical High
$354.81
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$67.61
Median
$100.00
Typical High
$123.03
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$147.91
Typical High
$190.55
HMSA
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$758.58
Typical High
$831.76
HMSA
Setting
Professional
Modifier
26 · Professional part
Typical Low
$141.25
Median
$144.54
Typical High
$151.36
HMSA
Setting
Professional
Modifier
TC · Technical part
Typical Low
$588.84
Median
$588.84
Typical High
$616.60
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$295.12
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$83.18
Median
$97.72
Typical High
$123.03
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$120.23
Median
$141.25
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$316.23
Typical High
$1,513.56
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$87.10
Median
$131.83
Typical High
$676.08
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$85.11
Median
$190.55
Typical High
$851.14
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$309.03
Typical High
$512.86
University Health Alliance
Setting
Professional
Modifier
26 · Professional part
Typical Low
$91.20
Median
$123.03
Typical High
$190.55
University Health Alliance
Setting
Professional
Modifier
TC · Technical part
Typical Low
$151.36
Median
$181.97
Typical High
$316.23