CPT 74176: CT Abdomen and Pelvis Without Contrast
Medicare pays $127 and commercial payers pay $510 on average nationally for this procedure.
CPT code 74176 describes a computed tomography (CT) scan of the abdomen and pelvis without contrast, performed to evaluate abdominal or pelvic pain and assess internal organ abnormalities; the service is a diagnostic CT imaging study typically provided in an outpatient imaging center or hospital radiology department and involves non-contrast CT acquisition of abdominal and pelvic anatomy for clinical diagnosis.
For related coverage guidance, see recent payer policy updates: Percutaneous Electrical Nerve Field Stimulation for Functional Abdominal Pain Disorders, Esophagogastroduodenoscopy (EGD) Coverage Policy, Radiofrequency Therapy for Fecal Incontinence.
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National Reimbursement Benchmarks
National averages show a clear gap between Medicare and the BUCA commercial composite: Medicare’s mean sits at $126.70 while BUCA’s average commercial mean is much higher at $510.00, indicating commercial reimbursements for CPT 74176 are, on average, roughly four times Medicare levels. This gap highlights how commercial payment strategies diverge from Medicare’s baseline for this imaging code.
Dispersion measured by the interquartile range (P75–P25) varies notably by payer. Blue Cross Blue Shield has the widest IQR at $268.90, signaling the largest middle-50% spread. Aetna and Cigna are relatively tighter with IQRs of $115.00 and $154.10 respectively, while UnitedHealth Group’s IQR is $129.40. BUCA’s IQR is $206.00 and Medicare’s IQR is $92.50, making Medicare one of the narrowest distributions among payers listed.