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CT Scan of Abdomen and Pelvis, Without IV Contrast

West Virginia 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 $87 · 10th–90th $85$1150%50%10th90th$87Professionalmedian $135 · 10th–90th $74$1860%10%20%10th90th$135$20.0$50.0$100.0$200.0$500.0$1.0K$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
$87.10
Median
$87.10
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$208.93
Typical High
$288.40
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$74.13
Median
$87.10
Typical High
$177.83
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$100.00
Median
$120.23
Typical High
$144.54
CareSource
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$128.82
Typical High
$263.03
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$20.42
Median
$95.50
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$316.23
Typical High
$891.25
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$66.07
Median
$120.23
Typical High
$389.05
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$83.18
Median
$181.97
Typical High
$501.19
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Highmark BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$131.83
Median
$141.25
Typical High
$218.78
Highmark BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$190.55
Median
$190.55
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$245.47
Typical High
$446.68
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$52.48
Median
$100.00
Typical High
$169.82
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$67.61
Median
$144.54
Typical High
$257.04