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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 July 2026.

Facilitymedian $123 · 10th–90th $89$3890%10%20%10th90th$123Professionalmedian $129 · 10th–90th $78$4270%10%10th90th$129$20.0$100.0$500.0$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
$89.13
Median
$123.03
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$239.88
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$75.86
Median
$89.13
Typical High
$288.40
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$100.00
Median
$138.04
Typical High
$660.69
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$144.54
Typical High
$208.93
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$61.66
Median
$89.13
Typical High
$138.04
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$89.13
Median
$89.13
Typical High
$177.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$229.09
Typical High
$398.11
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$87.10
Median
$109.65
Typical High
$162.18
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$97.72
Median
$125.89
Typical High
$223.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$213.80
Typical High
$295.12
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$87.10
Median
$97.72
Typical High
$123.03
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$120.23
Typical High
$165.96
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$20.42
Median
$95.50
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$263.03
Typical High
$478.63
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$70.79
Median
$109.65
Typical High
$218.78
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$91.20
Median
$154.88
Typical High
$281.84
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$602.56
Median
$776.25
Typical High
$776.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$263.03
Typical High
$1,230.27
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$79.43
Median
$109.65
Typical High
$524.81
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$97.72
Median
$147.91
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$245.47
Typical High
$891.25
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$77.62
Median
$104.71
Typical High
$239.88
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$95.50
Median
$147.91
Typical High
$295.12