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CT Scan Of One Breast, Without Contrast

Illinois 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?

$191

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $324 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$191$123 to $214
FacilityA hospital or hospital-owned outpatient department$324$151 to $1,072

How much rates vary

Facilitymedian $324 · 10th to 90th $141 to $1,349Professionalmedian $191 · 10th to 90th $110 to $229
$100$200$500$1K$2Kfacility $324professional $191

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
$213.80
Median
$1,071.52
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$199.53
Median
$213.80
Typical High
$239.88
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$74.13
Median
$77.62
Typical High
$83.18
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$104.71
Median
$109.65
Typical High
$128.82
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$151.36
Typical High
$181.97
Cigna
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$323.59
Typical High
$645.65
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$199.53
Median
$213.80
Typical High
$338.84
Hally Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$151.36
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$281.84
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$104.71
Median
$128.82
Typical High
$204.17
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$52.48
Median
$85.11
Typical High
$154.88
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$97.72
Median
$128.82
Typical High
$204.17

Where Illinois 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.

Illinois· 35th of 51

$191

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.