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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 July 2026.

How much does CT Scan Of One Breast, Without Contrast cost?

$214

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $245 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$209$170 to $240
FacilityA hospital or hospital-owned outpatient department$245$174 to $427

How much rates vary

Facilitymedian $245 · 10th to 90th $126 to $1,479Professionalmedian $209 · 10th to 90th $145 to $316
$0.1$1.0$10.0$100.0$1.0Kfacility $245professional $209

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
$128.82
Median
$245.47
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$229.09
Typical High
$316.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$186.21
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$239.88
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$251.19
Typical High
$954.99
Medica
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$316.23
Typical High
$676.08
Medica
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$131.83
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$100.00
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$123.03
Typical High
$208.93

Where Missouri 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.

Missouri $214 · 34th 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.