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CT Scan of Abdomen and Pelvis, Without IV Contrast

Nebraska 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 $257 · 10th–90th $148$7590%10%10th90th$257Professionalmedian $174 · 10th–90th $78$4680%10%10th90th$174$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
$138.04
Median
$257.04
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$338.84
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$75.86
Median
$107.15
Typical High
$309.03
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$91.20
Median
$239.88
Typical High
$645.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$354.81
Typical High
$426.58
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$85.11
Median
$114.82
Typical High
$173.78
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$107.15
Median
$190.55
Typical High
$234.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$346.74
Typical High
$371.54
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$144.54
Median
$154.88
Typical High
$165.96
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$173.78
Median
$194.98
Typical High
$239.88
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$398.11
Typical High
$562.34
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$104.71
Median
$173.78
Typical High
$239.88
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$158.49
Median
$218.78
Typical High
$316.23
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$281.84
Median
$776.25
Typical High
$776.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$354.81
Typical High
$1,230.27
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$100.00
Median
$154.88
Typical High
$194.98
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$123.03
Median
$199.53
Typical High
$1,318.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$416.87
Typical High
$630.96
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$158.49
Median
$181.97
Typical High
$275.42
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$199.53
Median
$229.09
Typical High
$354.81
Midlands
Setting
Facility
Modifier
26 · Professional part
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$416.87
Typical High
$630.96
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$120.23
Median
$186.21
Typical High
$275.42
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$186.21
Median
$234.42
Typical High
$354.81
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$169.82
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$363.08
Typical High
$602.56
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$93.33
Median
$158.49
Typical High
$251.19
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$123.03
Median
$204.17
Typical High
$309.03