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Minnesota rates for HCPCS 0633T

Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material

Facilitymedian $269 · 10th–90th $166–$4900%10%10th90th$269Professionalmedian $295 · 10th–90th $195–$3090%20%40%10th90th$295$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $218.78 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $309.03 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $309.03 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $933.25 / $933.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $269.15 / $416.87
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $173.78 / $1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $263.03 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $190.55 / $346.74