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CT Scan of Abdomen and Pelvis, Without IV Contrast

Minnesota 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 $269 · 10th–90th $85$6310%10%20%10th90th$269Professionalmedian $204 · 10th–90th $79$6170%5%10%10th90th$204$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
$77.62
Median
$85.11
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$234.42
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$77.62
Median
$89.13
Typical High
$309.03
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$131.83
Typical High
$616.60
BCBS
Setting
Facility
Modifier
26 · Professional part
Typical Low
$60.26
Median
$69.18
Typical High
$69.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$467.74
Typical High
$676.08
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$134.90
Median
$204.17
Typical High
$295.12
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$173.78
Median
$275.42
Typical High
$380.19
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$67.61
Median
$257.04
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$645.65
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$97.72
Median
$154.88
Typical High
$257.04
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$144.54
Median
$204.17
Typical High
$380.19
Health Partners
Setting
Facility
Modifier
26 · Professional part
Typical Low
$223.87
Median
$323.59
Typical High
$630.96
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$549.54
Health Partners
Setting
Professional
Modifier
26 · Professional part
Typical Low
$123.03
Median
$123.03
Typical High
$190.55
Health Partners
Setting
Professional
Modifier
TC · Technical part
Typical Low
$162.18
Median
$162.18
Typical High
$323.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$501.19
Typical High
$1,412.54
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$112.20
Median
$218.78
Typical High
$602.56
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$114.82
Median
$204.17
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$562.34
Typical High
$1,513.56
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$85.11
Median
$234.42
Typical High
$676.08
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$85.11
Median
$269.15
Typical High
$851.14