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CT Scan of Abdomen and Pelvis, Without IV Contrast

Wyoming 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 $79 · 10th–90th $79$790%50%100%$79Professionalmedian $186 · 10th–90th $81$4170%10%20%10th90th$186$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$407.38
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$81.28
Median
$85.11
Typical High
$186.21
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$107.15
Median
$141.25
Typical High
$223.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$741.31
Typical High
$741.31
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$208.93
Median
$323.59
Typical High
$323.59
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$269.15
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$389.05
Typical High
$707.95
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$114.82
Median
$173.78
Typical High
$263.03
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$144.54
Median
$218.78
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$346.74
Typical High
$616.60
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$72.44
Median
$147.91
Typical High
$269.15
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$112.20
Median
$194.98
Typical High
$338.84