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CT Scan of Abdomen and Pelvis, Without IV Contrast

Rhode Island 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 $525 · 10th–90th $525$7410%20%40%90th$525Professionalmedian $145 · 10th–90th $78$3020%10%10th90th$145$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$524.81
Median
$524.81
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$234.42
Typical High
$346.74
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$64.57
Median
$83.18
Typical High
$288.40
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$91.20
Median
$138.04
Typical High
$199.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$269.15
Typical High
$478.63
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$83.18
Median
$117.49
Typical High
$169.82
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$107.15
Median
$151.36
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$363.08
Typical High
$467.74
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$75.86
Median
$123.03
Typical High
$181.97
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$112.20
Median
$204.17
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$223.87
Typical High
$371.54
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$79.43
Median
$95.50
Typical High
$147.91
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$112.20
Median
$131.83
Typical High
$190.55