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CT Scan Of One Breast, Without Contrast

Hawaii 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 rates vary

Professionalmedian $174 · 10th to 90th $170 to $275
$100.0$200.0professional $174

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
Professional
Modifier
Global
Typical Low
$169.82
Median
$223.87
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$144.54
Typical High
$239.88