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CT Scan of Abdomen and Pelvis, Without IV Contrast

Idaho 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 $214 · 10th–90th $120$2290%50%10th90th$214Professionalmedian $178 · 10th–90th $83$3720%5%10%10th90th$178$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
$120.23
Median
$213.80
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$239.88
Typical High
$537.03
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$77.62
Median
$117.49
Typical High
$263.03
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$120.23
Median
$144.54
Typical High
$245.47
BCBS
Setting
Facility
Modifier
26 · Professional part
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$346.74
Typical High
$478.63
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$131.83
Median
$154.88
Typical High
$218.78
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$158.49
Median
$186.21
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$223.87
Typical High
$436.52
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$69.18
Median
$87.10
Typical High
$162.18
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$85.11
Median
$125.89
Typical High
$281.84
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,230.27
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$354.81
Median
$354.81
Typical High
$707.95
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$363.08
Typical High
$512.86
Moda Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$131.83
Median
$158.49
Typical High
$223.87
Moda Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$169.82
Median
$204.17
Typical High
$288.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$67.61
Typical High
$144.54
Regence BlueShield
Setting
Facility
Modifier
26 · Professional part
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$389.05
Typical High
$478.63
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$134.90
Median
$165.96
Typical High
$208.93
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$147.91
Median
$218.78
Typical High
$275.42
Select Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$75.86
Median
$77.62
Typical High
$630.96
Select Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$295.12
Typical High
$467.74
Select Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$75.86
Median
$151.36
Typical High
$208.93
Select Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$95.50
Median
$147.91
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$213.80
Typical High
$416.87
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$70.79
Median
$93.33
Typical High
$169.82
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$97.72
Median
$128.82
Typical High
$245.47