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CT Scan of Abdomen and Pelvis, Without IV Contrast

Missouri 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 October 2026.

How much does CT Scan of Abdomen and Pelvis, Without IV Contrast cost?

$263

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $724 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$263$204 to $324
FacilityA hospital or hospital-owned outpatient department$724$282 to $1,549

How much rates vary

Facilitymedian $724 · 10th to 90th $200 to $2,512Professionalmedian $263 · 10th to 90th $170 to $1,230
$100$200$500$1K$2Kfacility $724professional $263

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$269.15
Typical High
$1,412.54
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$83.18
Median
$100.00
Typical High
$151.36
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$102.33
Median
$123.03
Typical High
$204.17
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$186.21
Median
$213.80
Typical High
$346.74
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$77.62
Median
$95.50
Typical High
$147.91
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$104.71
Median
$123.03
Typical High
$208.93
Ambetter
Setting
Professional
Modifier
None (both parts)
Typical Low
$128.82
Median
$134.90
Typical High
$151.36
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$61.66
Median
$79.43
Typical High
$120.23
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$269.15
Typical High
$371.54
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$87.10
Median
$125.89
Typical High
$162.18
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$97.72
Median
$169.82
Typical High
$218.78
BCBS Kansas City
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$346.74
BCBS Kansas City
Setting
Professional
Modifier
None (both parts)
Typical Low
$194.98
Median
$199.53
Typical High
$275.42
BCBS Kansas City
Setting
Professional
Modifier
26 · Professional part
Typical Low
$87.10
Median
$89.13
Typical High
$117.49
BCBS Kansas City
Setting
Professional
Modifier
TC · Technical part
Typical Low
$107.15
Median
$112.20
Typical High
$158.49
Cigna
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$933.25
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$154.88
Median
$208.93
Typical High
$354.81
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$67.61
Median
$85.11
Typical High
$151.36
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$85.11
Median
$120.23
Typical High
$204.17
Medica
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$1,348.96
Typical High
$3,235.94
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$208.93
Median
$524.81
Typical High
$1,230.27
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$91.20
Median
$208.93
Typical High
$524.81
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$117.49
Median
$295.12
Typical High
$1,318.26
Qualchoice
Setting
Professional
Modifier
None (both parts)
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$794.33
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$199.53
Median
$245.47
Typical High
$467.74
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$89.13
Median
$100.00
Typical High
$208.93
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$112.20
Median
$144.54
Typical High
$257.04
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
CT · Older CT scanner
Typical Low
$158.49
Median
$181.97
Typical High
$190.55
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$147.91
Median
$173.78
Typical High
$177.83

Where Missouri sits

The same service costs 18.2 times more in Vermont than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Missouri· 22nd of 51

$263

VT $1,995UT $110

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.