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CT Scan of Abdomen and Pelvis, Without IV Contrast

Oklahoma 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 $110 · 10th–90th $95$4570%20%40%10th90th$110Professionalmedian $132 · 10th–90th $83$2510%10%10th90th$132$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
$87.10
Median
$109.65
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$239.88
Typical High
$269.15
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$51.29
Median
$100.00
Typical High
$117.49
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$128.82
Typical High
$151.36
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$281.84
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$61.66
Median
$77.62
Typical High
$131.83
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$120.23
Median
$123.03
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$186.21
Typical High
$251.19
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$204.17
Typical High
$354.81
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$67.61
Median
$85.11
Typical High
$138.04
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$87.10
Median
$120.23
Typical High
$204.17
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
$218.78
Typical High
$1,230.27
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$75.86
Median
$89.13
Typical High
$524.81
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$97.72
Median
$125.89
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$204.17
Typical High
$512.86
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$75.86
Median
$89.13
Typical High
$199.53
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$95.50
Median
$125.89
Typical High
$218.78