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CT Scan Of One Breast, Without Contrast

Missouri 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?

$186

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $661 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$186$145 to $251
FacilityA hospital or hospital-owned outpatient department$661$302 to $1,905

How much rates vary

Facilitymedian $661 · 10th to 90th $229 to $2,512Professionalmedian $186 · 10th to 90th $117 to $1,288
$100$200$500$1K$2Kfacility $661professional $186

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
$229.09
Median
$660.69
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$199.53
Median
$239.88
Typical High
$245.47
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$74.13
Median
$85.11
Typical High
$93.33
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$109.65
Median
$128.82
Typical High
$141.25
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$186.21
Typical High
$338.84
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$63.10
Median
$66.07
Typical High
$120.23
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$95.50
Median
$107.15
Typical High
$177.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$239.88
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$223.87
Median
$302.00
Typical High
$954.99
Medica
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$691.83
Typical High
$2,511.89
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$112.20
Median
$281.84
Typical High
$1,288.25
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$112.20
Median
$281.84
Typical High
$691.83
United
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$346.74
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$109.65
Median
$128.82
Typical High
$251.19
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$77.62
Median
$141.25
Typical High
$213.80
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$72.44
Median
$120.23
Typical High
$177.83

Where Missouri 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.

Missouri· 41st of 51

$186

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.