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CT Scan of Abdomen and Pelvis, Without IV Contrast

Illinois 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 $105 · 10th–90th $89$1950%20%40%10th90th$105Professionalmedian $145 · 10th–90th $79$4270%10%10th90th$145$20.0$100.0$500.0$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
$89.13
Median
$104.71
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$281.84
Typical High
$954.99
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$77.62
Median
$102.33
Typical High
$302.00
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$95.50
Median
$123.03
Typical High
$213.80
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$144.54
Typical High
$309.03
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$61.66
Median
$77.62
Typical High
$120.23
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$77.62
Median
$117.49
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$218.78
Typical High
$416.87
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$269.15
Typical High
$407.38
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$66.07
Median
$112.20
Typical High
$165.96
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$97.72
Median
$154.88
Typical High
$234.42
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$446.68
Typical High
$1,288.25
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$95.50
Median
$208.93
Typical High
$660.69
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$120.23
Median
$239.88
Typical High
$794.33
Hally Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$245.47
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$100.00
Median
$102.33
Typical High
$107.15
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$120.23
Median
$125.89
Typical High
$134.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$295.12
Typical High
$954.99
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$79.43
Median
$131.83
Typical High
$416.87
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$100.00
Median
$173.78
Typical High
$416.87