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CT Scan Of One Breast, Without Contrast

Alaska rates for HCPCS 0633T

A CT scan of one breast, taken without any contrast dye, with three-dimensional pictures built from the data when they are useful. It produces cross-sectional views through the whole breast rather than the flattened views a mammogram gives.

Rates data updated October 2026.

How much does CT Scan Of One Breast, Without Contrast cost?

$794

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $794 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $794 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$813$295 to $813
FacilityA hospital or hospital-owned outpatient department$794$776 to $1,096

How much rates vary

Facilitymedian $794 · 10th to 90th $776 to $1,122Professionalmedian $813 · 10th to 90th $214 to $813
$200$500$1Kfacility $794professional $813

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$776.25
Typical High
$776.25
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$776.25
Median
$776.25
Typical High
$831.76
Moda Health
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$776.25
Typical High
$1,096.48
Moda Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$194.98
Median
$776.25
Typical High
$776.25
Premera BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Premera BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Premera BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Providence
Setting
Facility
Modifier
None
Typical Low
$794.33
Median
$794.33
Typical High
$1,122.02
Providence
Setting
Professional
Modifier
None (both parts)
Typical Low
$776.25
Median
$776.25
Typical High
$831.76
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$165.96
Median
$245.47
Typical High
$549.54
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$112.20
Median
$245.47
Typical High
$549.54

Where Alaska sits

The same service costs 7.8 times more in Alaska than in Michigan. 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.

Alaska· 1st of 51

$794

AK $794MI $102

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.