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CT Scan of Abdomen and Pelvis, Without IV Contrast

Wisconsin 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 $219 · 10th–90th $89$5250%10%20%10th90th$219Professionalmedian $234 · 10th–90th $78$9550%5%10th90th$234$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
$89.13
Median
$173.78
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$371.54
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$75.86
Median
$147.91
Typical High
$933.25
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$186.21
Typical High
$691.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$288.40
Typical High
$1,071.52
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$79.43
Median
$125.89
Typical High
$467.74
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$162.18
Typical High
$602.56
CareSource
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$125.89
Typical High
$234.42
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$218.78
Median
$251.19
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$512.86
Typical High
$758.58
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$83.18
Median
$218.78
Typical High
$331.13
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$114.82
Median
$309.03
Typical High
$436.52
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$416.87
Typical High
$562.34
DeanCare
Setting
Professional
Modifier
26 · Professional part
Typical Low
$151.36
Median
$181.97
Typical High
$245.47
DeanCare
Setting
Professional
Modifier
TC · Technical part
Typical Low
$190.55
Median
$229.09
Typical High
$316.23
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$707.95
Median
$776.25
Typical High
$1,737.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$407.38
Typical High
$1,230.27
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$93.33
Median
$245.47
Typical High
$912.01
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$117.49
Median
$229.09
Typical High
$1,318.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$245.47
Network Health
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$436.52
Typical High
$758.58
Network Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$112.20
Median
$194.98
Typical High
$309.03
Network Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$154.88
Median
$245.47
Typical High
$426.58
Quartz
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$436.52
Typical High
$645.65
Quartz
Setting
Facility
Modifier
26 · Professional part
Typical Low
$190.55
Median
$524.81
Typical High
$524.81
Quartz
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$977.24
Typical High
$1,230.27
Quartz
Setting
Professional
Modifier
26 · Professional part
Typical Low
$83.18
Median
$426.58
Typical High
$524.81
Quartz
Setting
Professional
Modifier
TC · Technical part
Typical Low
$120.23
Median
$537.03
Typical High
$1,318.26
Security Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Security Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Security Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Security Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,096.48
Typical High
$1,318.26
Security Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$245.47
Median
$288.40
Typical High
$467.74
Security Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$309.03
Median
$363.08
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$933.25
Typical High
$1,445.44
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$87.10
Median
$331.13
Typical High
$630.96
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$87.10
Median
$245.47
Typical High
$851.14