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CT Scan of Abdomen and Pelvis, Without IV Contrast

New Mexico 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 $135 · 10th–90th $112$1700%20%10th90th$135Professionalmedian $141 · 10th–90th $78$4900%10%10th90th$141$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
$112.20
Median
$134.90
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$275.42
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$72.44
Median
$95.50
Typical High
$338.84
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$93.33
Median
$141.25
Typical High
$645.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$128.82
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$263.03
Typical High
$398.11
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$67.61
Median
$107.15
Typical High
$154.88
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$93.33
Median
$158.49
Typical High
$229.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$177.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$323.59
Typical High
$436.52
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$74.13
Median
$109.65
Typical High
$154.88
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$100.00
Median
$154.88
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$1,412.54
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$72.44
Median
$95.50
Typical High
$512.86
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$97.72
Median
$125.89
Typical High
$346.74