CPT 74176 · professional fee

Ct abd & pelvis w/o contrast (CPT 74176): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 74176, from their published in-network rate files.

Diagnostic radiologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$287

P10 to P90: $184 to $543

vs Medicare

157%

non-facility rate $183.04

Payer spread

1.26×

UHC $322 vs Aetna $255

State spread

2.6×

AK $499 to OK $194

5,770 sampled providers7,027 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers

UnitedHealthcare has the highest median for CPT 74176 in the files analyzed, at $322, 26% above Aetna ($255), the lowest of the 4 payers shown.

The state spread is 2.6×: Alaska has the highest median at $499 and Oklahoma the lowest at $194, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 157% of the Medicare non-facility rate ($183.04), which ranks 99th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $139) and widest within UnitedHealthcare ($207).

This is a top-4 code for diagnostic radiology by Medicare allowed dollars, so it carries real revenue weight for that specialty.

Rates by payer

Median of per-provider median rates, with interquartile range

Payer	Median	P25	P75	vs national	Rank	Providers	Position
UnitedHealthcare	$322	$226	$433	+12%	1	3,940	176% of Medicare
Cigna	$297	$236	$410	+3%	2	4,469	162% of Medicare
Blue Cross Blue Shield	$296	$214	$400	+3%	3	4,548	162% of Medicare
Aetna	$255	$210	$350	-11%	4	3,848	139% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($183.04)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$499	+74%	Aetna	Cigna	61
2	Washington	$415	+44%	Aetna	BCBS	117
3	Wisconsin	$406	+41%	UHC	Cigna	118
4	Wyoming	$386	+35%	BCBS	Aetna	41
5	North Carolina	$375	+31%	Cigna	BCBS	121
6	Georgia	$374	+30%	Cigna	Aetna	128
7	South Dakota	$372	+30%	Cigna	Aetna	85
8	New Hampshire	$364	+27%	BCBS	Aetna	127
9	Connecticut	$363	+27%	BCBS	Aetna	119
10	Nebraska	$362	+26%	Cigna	Aetna	119
11	Iowa	$357	+24%	Cigna	Aetna	100
12	North Dakota	$355	+24%	BCBS	Aetna	86
13	Colorado	$352	+23%	BCBS	Aetna	116
14	Ohio	$337	+18%	UHC	Cigna	127
15	Oregon	$330	+15%	UHC	Cigna	106
16	Mississippi	$325	+13%	Aetna	UHC	114
17	Idaho	$322	+12%	Aetna	Cigna	124
18	Missouri	$308	+7%	BCBS	Aetna	123
19	Louisiana	$300	+5%	Aetna	UHC	122
20	Tennessee	$300	+4%	Cigna	Aetna	128
21	New Jersey	$299	+4%	Cigna	Aetna	126
22	West Virginia	$297	+3%	UHC	BCBS	117
23	Montana	$296	+3%	Aetna	UHC	69
24	Massachusetts	$292	+2%	UHC	Aetna	118
25	Kansas	$282	-2%	BCBS	Aetna	116
26	Vermont	$280	-2%	UHC	BCBS	63
27	Virginia	$278	-3%	Cigna	Aetna	117
28	Arkansas	$278	-3%	UHC	BCBS	117
29	South Carolina	$275	-4%	Cigna	BCBS	113
30	Pennsylvania	$272	-5%	UHC	Aetna	120
31	Rhode Island	$270	-6%	Cigna	Aetna	126
32	District of Columbia	$269	-6%	UHC	BCBS	130
33	Maine	$269	-6%	UHC	Cigna	127
33	Michigan	$269	-6%	Cigna	Aetna	116
35	Minnesota	$268	-7%	UHC	Aetna	123
36	Delaware	$267	-7%	UHC	Aetna	98
37	Hawaii	$267	-7%	Aetna	BCBS	105
38	Florida	$264	-8%	Cigna	BCBS	105
39	Utah	$262	-9%	UHC	Aetna	121
40	California	$261	-9%	UHC	Aetna	107
41	New Mexico	$261	-9%	UHC	BCBS	123
42	Indiana	$260	-10%	BCBS	Aetna	135
43	Illinois	$256	-11%	UHC	BCBS	124
43	Arizona	$256	-11%	Cigna	Aetna	112
45	Nevada	$250	-13%	Cigna	BCBS	123
46	Maryland	$244	-15%	UHC	BCBS	106
47	Kentucky	$242	-16%	Cigna	BCBS	134
48	New York	$242	-16%	Cigna	Aetna	128
49	Alabama	$233	-19%	Aetna	BCBS	126
50	Texas	$212	-26%	UHC	BCBS	133
51	Oklahoma	$194	-33%	UHC	BCBS	110

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 74176?

In the files we analyzed, UnitedHealthcare, at a median of $322 across 3,940 sampled providers. Aetna is lowest at $255, 26% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 157% of the 2026 Medicare non-facility rate of $183.04.

Which state has the highest median for CPT 74176?

Alaska has the highest median at $499; Oklahoma has the lowest at $194.

Is this a professional fee?

These are professional (physician) fees only. Facility, device and implant payments are priced separately and are not included.

How current is this data?

It is the August 2026 snapshot of each payer's in-network rate file. Sources and filters are listed in the methodology below.

Methodology

How these numbers are calculated

Source: in-network negotiated-rate files published under the federal Transparency in Coverage rule, August 2026 snapshot: UnitedHealthcare Choice plans (74 files); Aetna commercial plans (70 files); Cigna national PPO (1 files); BCBS licensees' own-network files (5,387 files). Payer comparisons describe these files, not each payer's entire book of business.
Sample: rates come from a random sample of up to 150 providers per state and specialty. Counts on this page are sampled providers and TINs, not totals.
Which providers count: only providers in a specialty relevant to the code, because a rate in a payer file attaches to a provider group and is listed under every provider in that group.
Filters: fee-for-service, professional billing class, no modifier, negotiated or fee-schedule dollar rates. Rates outside 1% to 1,000% of the Medicare rate are excluded.
Statistic: one median rate per provider, then percentiles across providers. A cell is shown only with at least 15 sampled providers and 4 TINs.
Medicare benchmark: CY2026 national physician fee schedule, non-QPP conversion factor, unadjusted for locality. Where the non-facility rate is more than twice the facility rate (office rates that include device or supply cost), the facility rate is used so comparisons are like for like.

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