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CT Scan of Abdomen and Pelvis, Without IV Contrast

Iowa 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 $83$5130%10%20%10th90th$126Professionalmedian $170 · 10th–90th $79$6460%10%10th90th$170$10.0$50.0$200.0$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
$83.18
Median
$112.20
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$75.86
Median
$109.65
Typical High
$398.11
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$144.54
Typical High
$660.69
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$446.68
Typical High
$562.34
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$93.33
Median
$190.55
Typical High
$239.88
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$125.89
Median
$251.19
Typical High
$316.23
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$309.03
Typical High
$1,023.29
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$75.86
Median
$147.91
Typical High
$363.08
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$93.33
Median
$177.83
Typical High
$707.95
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$602.56
Median
$776.25
Typical High
$776.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$354.81
Typical High
$1,230.27
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$85.11
Median
$144.54
Typical High
$524.81
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$109.65
Median
$154.88
Typical High
$1,318.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$457.09
Typical High
$794.33
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$165.96
Median
$204.17
Typical High
$338.84
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$204.17
Median
$251.19
Typical High
$457.09
Midlands
Setting
Facility
Modifier
26 · Professional part
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$457.09
Typical High
$524.81
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$165.96
Median
$204.17
Typical High
$229.09
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$245.47
Median
$295.12
Typical High
$302.00
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$169.82
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$323.59
Typical High
$954.99
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$89.13
Median
$141.25
Typical High
$371.54
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$173.78
Typical High
$338.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$354.81
Typical High
$407.38
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$151.36
Median
$154.88
Typical High
$177.83
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$194.98
Median
$199.53
Typical High
$229.09