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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 October 2026.

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

$1,995

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $1,995 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $3,467 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$282$245 to $331
FacilityA hospital or hospital-owned outpatient department$3,467$3,020 to $4,677

How much rates vary

Facilitymedian $3,467 · 10th to 90th $1,995 to $4,786Professionalmedian $282 · 10th to 90th $204 to $562
$200$500$1K$2K$5Kfacility $3,467professional $282

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$3,467.37
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$204.17
Median
$257.04
Typical High
$257.04
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$3,019.95
Typical High
$4,466.84
BCBS Vermont
Setting
Professional
Modifier
None (both parts)
Typical Low
$239.88
Median
$239.88
Typical High
$812.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$245.47
Median
$281.84
Typical High
$575.44
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$104.71
Median
$123.03
Typical High
$245.47
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$141.25
Median
$158.49
Typical High
$331.13
MVP Health Care
Setting
Professional
Modifier
None (both parts)
Typical Low
$218.78
Median
$338.84
Typical High
$489.78
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$194.98
Median
$331.13
Typical High
$645.65

Where Vermont 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.

Vermont· 1st of 51

$1,995

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.