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CT Scan Of One Breast, Without Contrast

California 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 July 2026.

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

$219

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $316 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$219$191 to $275
FacilityA hospital or hospital-owned outpatient department$316$224 to $1,202

How much rates vary

Facilitymedian $316 · 10th to 90th $195 to $2,630Professionalmedian $219 · 10th to 90th $170 to $389
$100.0$200.0$500.0$1.0K$2.0Kfacility $316professional $219

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$1,318.26
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$208.93
Typical High
$275.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$346.74
Typical High
$512.86
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$263.03
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$309.03
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$281.84
Typical High
$426.58
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$630.96
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,630.27
Typical High
$2,630.27
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,698.24
Typical High
$1,698.24
Providence
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$269.15
Typical High
$407.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$275.42
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$181.97
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$112.20
Typical High
$257.04

Where California sits

The same service costs 1.7 times more in Minnesota than in Hawaii. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $219 · 28th of 51
MN $302HI $174

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.