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CT Scan Of One Breast, Without Contrast

Arizona 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?

$219

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $479 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$195$95.50 to $302
FacilityA hospital or hospital-owned outpatient department$479$275 to $813

How much rates vary

Facilitymedian $479 · 10th to 90th $120 to $1,585Professionalmedian $195 · 10th to 90th $95 to $1,288
$100$200$500$1K$2Kfacility $479professional $195

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
$354.81
Median
$812.83
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$218.78
Median
$239.88
Typical High
$239.88
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$77.62
Median
$89.13
Typical High
$89.13
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$125.89
Median
$131.83
Typical High
$131.83
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$457.09
Typical High
$691.83
BCBS Arizona
Setting
Professional
Modifier
None (both parts)
Typical Low
$177.83
Median
$177.83
Typical High
$338.84
BCBS Arizona
Setting
Professional
Modifier
26 · Professional part
Typical Low
$47.86
Median
$47.86
Typical High
$91.20
BCBS Arizona
Setting
Professional
Modifier
TC · Technical part
Typical Low
$128.82
Median
$128.82
Typical High
$245.47
Cigna
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$416.87
Typical High
$758.58
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$208.93
Median
$316.23
Typical High
$954.99
Medica
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$346.74
Typical High
$2,511.89
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$95.50
Median
$1,288.25
Typical High
$1,288.25
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$93.33
Median
$691.83
Typical High
$691.83
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$93.33
Median
$95.50
Typical High
$186.21
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$63.10
Median
$114.82
Typical High
$181.97
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$75.86
Median
$95.50
Typical High
$141.25

Where Arizona 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.

Arizona· 20th of 51

$219

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.