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CT Scan of Abdomen and Pelvis, Without IV Contrast

Maine 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 $100 · 10th–90th $93$11,2200%50%10th90th$100Professionalmedian $145 · 10th–90th $85$3160%10%20%10th90th$145$20.0$100.0$500.0$2.0K$10.0K

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
$93.33
Median
$100.00
Typical High
$11,220.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$229.09
Typical High
$371.54
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$72.44
Median
$89.13
Typical High
$199.53
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$91.20
Median
$128.82
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$269.15
Typical High
$616.60
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$79.43
Median
$117.49
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$151.36
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$281.84
Typical High
$588.84
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$83.18
Median
$112.20
Typical High
$186.21
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$114.82
Median
$165.96
Typical High
$331.13
Community Health Options
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$398.11
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$275.42
Typical High
$524.81
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$95.50
Median
$120.23
Typical High
$229.09
Harvard Pilgrim
Setting
Professional
Modifier
TC · Technical part
Typical Low
$125.89
Median
$158.49
Typical High
$295.12
Martin's Point
Setting
Facility
Modifier
26 · Professional part
Typical Low
$100.00
Median
$100.00
Typical High
$630.96
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$229.09
Typical High
$478.63
Martin's Point
Setting
Professional
Modifier
26 · Professional part
Typical Low
$77.62
Median
$100.00
Typical High
$208.93
Martin's Point
Setting
Professional
Modifier
TC · Technical part
Typical Low
$120.23
Median
$138.04
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$302.00
Typical High
$1,412.54
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$93.33
Median
$125.89
Typical High
$512.86
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$95.50
Median
$158.49
Typical High
$371.54