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CT Scan of Abdomen and Pelvis, Without IV Contrast

North Dakota 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 $62 · 10th–90th $62$1410%50%90th$62Professionalmedian $148 · 10th–90th $78$4070%10%10th90th$148$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
$61.66
Median
$61.66
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$213.80
Typical High
$549.54
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$75.86
Median
$83.18
Typical High
$229.09
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$79.43
Median
$138.04
Typical High
$3,801.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$426.58
Typical High
$478.63
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$138.04
Median
$186.21
Typical High
$208.93
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$177.83
Median
$239.88
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$489.78
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$75.86
Median
$123.03
Typical High
$213.80
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$117.49
Median
$173.78
Typical High
$288.40
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$363.08
Typical High
$1,230.27
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$104.71
Median
$169.82
Typical High
$426.58
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
$100.00
Median
$323.59
Typical High
$501.19
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$89.13
Median
$141.25
Typical High
$218.78
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$100.00
Median
$181.97
Typical High
$269.15