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CT Abdomen And Pelvis, Without And With Contrast

Vermont rates for HCPCS 74178

This is a CT scan covering both the abdomen and pelvis, performed first without contrast dye and then again after contrast dye is given, all in the same visit. Having both sets of images can help distinguish certain findings, such as telling a cyst from a mass, more clearly than either approach alone.

Rates data updated October 2026.

How much does CT Abdomen And Pelvis, Without And With Contrast cost?

$692

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $692 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $4,677 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$513$468 to $631
FacilityA hospital or hospital-owned outpatient department$4,677$4,365 to $5,754

How much rates vary

Facilitymedian $4,677 · 10th to 90th $2,754 to $8,318Professionalmedian $513 · 10th to 90th $389 to $1,072
$500$1K$2K$5Kfacility $4,677professional $513

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
$2,754.23
Median
$4,677.35
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$389.05
Median
$512.86
Typical High
$512.86
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$4,677.35
Typical High
$7,079.46
BCBS Vermont
Setting
Professional
Modifier
None (both parts)
Typical Low
$478.63
Median
$478.63
Typical High
$1,584.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$6,165.95
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$467.74
Median
$512.86
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$123.03
Median
$141.25
Typical High
$281.84
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$346.74
Median
$371.54
Typical High
$794.33
MVP Health Care
Setting
Professional
Modifier
None (both parts)
Typical Low
$380.19
Median
$416.87
Typical High
$912.01
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$363.08
Median
$645.65
Typical High
$1,202.26

Where Vermont sits

The same service costs 5.1 times more in Alaska 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· 8th of 51

$692

AK $1,202UT $234

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.