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CT Scan Of One Breast, Without Contrast

Michigan 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?

$204

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $182 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 5 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$204$151 to $245
FacilityA hospital or hospital-owned outpatient department$182$126 to $245

How much rates vary

Facilitymedian $182 · 10th to 90th $89 to $245Professionalmedian $204 · 10th to 90th $100 to $275
$100$200facility $182professional $204

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
$125.89
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$223.87
Typical High
$275.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$100.00
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$251.19
Typical High
$954.99
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$109.65
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$112.20
Typical High
$190.55

Where Michigan sits

The same service costs 1.7 times more in Minnesota than in Hawaii. 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.

Michigan· 44th of 51

$204

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.