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CT Scan of Abdomen and Pelvis, Without IV Contrast

Tennessee 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 October 2026.

How much does CT Scan of Abdomen and Pelvis, Without IV Contrast cost?

$275

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $275 for this service. Most negotiated rates run $204 to $490.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $372 · 10th to 90th $245 to $794Professionalmedian $275 · 10th to 90th $155 to $1,549
$100$200$500$1Kfacility $372professional $275

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$331.13
Typical High
$794.33
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$218.78
Median
$371.54
Typical High
$416.87
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$204.17
Median
$275.42
Typical High
$371.54
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$54.95
Median
$83.18
Typical High
$128.82
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$120.23
Median
$218.78
Typical High
$288.40
Ambetter
Setting
Professional
Modifier
None (both parts)
Typical Low
$134.90
Median
$186.21
Typical High
$316.23
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$61.66
Median
$89.13
Typical High
$138.04
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$75.86
Median
$100.00
Typical High
$181.97
BCBS Tennessee
Setting
Professional
Modifier
None (both parts)
Typical Low
$117.49
Median
$239.88
Typical High
$416.87
BCBS Tennessee
Setting
Professional
Modifier
26 · Professional part
Typical Low
$77.62
Median
$104.71
Typical High
$181.97
BCBS Tennessee
Setting
Professional
Modifier
TC · Technical part
Typical Low
$93.33
Median
$144.54
Typical High
$257.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$446.68
Typical High
$602.56
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$138.04
Median
$218.78
Typical High
$426.58
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$61.66
Median
$97.72
Typical High
$186.21
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$75.86
Median
$123.03
Typical High
$257.04
Lucent Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,230.27
Median
$1,548.82
Typical High
$1,548.82
Lucent Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$524.81
Median
$660.69
Typical High
$660.69
Lucent Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$186.21
Median
$234.42
Typical High
$398.11
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$79.43
Median
$97.72
Typical High
$177.83
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$131.83
Typical High
$234.42
4 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Facility
Modifier
CT · Older CT scanner
Typical Low
$269.15
Median
$323.59
Typical High
$354.81
Aetna
Setting
Facility
Modifier
FX · Film X-ray
Typical Low
$257.04
Median
$302.00
Typical High
$331.13
Aetna
Setting
Professional
Modifier
CT · Older CT scanner
Typical Low
$173.78
Median
$234.42
Typical High
$281.84
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$165.96
Median
$218.78
Typical High
$263.03

Where Tennessee sits

The same service costs 18.2 times more in Vermont than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Tennessee· 18th of 51

$275

VT $1,995UT $110

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.