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CT Scan of Abdomen and Pelvis, Without IV Contrast

Maryland 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 $71 · 10th–90th $46$980%20%40%10th90th$71Professionalmedian $129 · 10th–90th $78$4370%10%10th90th$129$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
$45.71
Median
$70.79
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$234.42
Typical High
$933.25
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$70.79
Median
$87.10
Typical High
$302.00
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$95.50
Median
$123.03
Typical High
$389.05
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$218.78
Typical High
$263.03
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$81.28
Median
$95.50
Typical High
$123.03
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$128.82
Median
$151.36
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$251.19
Typical High
$457.09
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$63.10
Median
$95.50
Typical High
$169.82
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$91.20
Median
$154.88
Typical High
$288.40
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$218.78
Typical High
$331.13
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$81.28
Median
$91.20
Typical High
$169.82
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$109.65
Median
$128.82
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$239.88
Typical High
$512.86
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$61.66
Median
$97.72
Typical High
$199.53
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$83.18
Median
$138.04
Typical High
$263.03
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$194.98
Typical High
$302.00
Wellpoint
Setting
Professional
Modifier
26 · Professional part
Typical Low
$77.62
Median
$83.18
Typical High
$125.89
Wellpoint
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$109.65
Typical High
$177.83