go back

CT Scan of Abdomen and Pelvis, Without IV Contrast

Vermont 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.

Professionalmedian $126 · 10th–90th $83$2750%10%10th90th$126$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$257.04
Typical High
$281.84
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$50.12
Median
$100.00
Typical High
$275.42
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$117.49
Median
$125.89
Typical High
$173.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$1,584.89
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$87.10
Median
$87.10
Typical High
$346.74
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$144.54
Median
$144.54
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$295.12
Typical High
$724.44
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$64.57
Median
$120.23
Typical High
$257.04
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$181.97
Typical High
$467.74
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$338.84
Typical High
$489.78
MVP Health Care
Setting
Professional
Modifier
26 · Professional part
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
MVP Health Care
Setting
Professional
Modifier
TC · Technical part
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$251.19
Typical High
$524.81
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$83.18
Median
$107.15
Typical High
$213.80
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$109.65
Median
$141.25
Typical High
$309.03