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CT Scan Of One Breast, Without Contrast

Louisiana 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?

$302

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $417 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 4 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$240$170 to $302
FacilityA hospital or hospital-owned outpatient department$417$302 to $692

How much rates vary

Facilitymedian $417 · 10th to 90th $182 to $1,072Professionalmedian $240 · 10th to 90th $107 to $398
$100.0$200.0$500.0$1.0Kfacility $417professional $240

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
$302.00
Median
$501.19
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$302.00
Typical High
$398.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$213.80
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$239.88
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$162.18
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$109.65
Typical High
$177.83

Where Louisiana 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.

Louisiana $302 · 2nd 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.