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CT Scan of Abdomen and Pelvis, Without IV Contrast

Louisiana 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 $65 · 10th–90th $60$1380%20%40%10th90th$65Professionalmedian $158 · 10th–90th $69$3240%5%10%10th90th$158$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
$60.26
Median
$64.57
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$302.00
Typical High
$602.56
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$60.26
Median
$91.20
Typical High
$245.47
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$112.20
Median
$162.18
Typical High
$239.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$144.54
Typical High
$177.83
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$61.66
Median
$77.62
Typical High
$100.00
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$69.18
Median
$83.18
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$275.42
Typical High
$338.84
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$91.20
Median
$117.49
Typical High
$147.91
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$134.90
Median
$158.49
Typical High
$199.53
Christus
Setting
Professional
Modifier
26 · Professional part
Typical Low
$77.62
Median
$79.43
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$218.78
Typical High
$398.11
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$58.88
Median
$91.20
Typical High
$169.82
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$69.18
Median
$112.20
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$204.17
Typical High
$363.08
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$63.10
Median
$89.13
Typical High
$144.54
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$79.43
Median
$117.49
Typical High
$194.98