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CT Scan Of One Breast, Without Contrast

Montana 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?

$240

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $339 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$224$182 to $275
FacilityA hospital or hospital-owned outpatient department$339$316 to $347

How much rates vary

Facilitymedian $339 · 10th to 90th $234 to $355Professionalmedian $224 · 10th to 90th $174 to $347
$100.0$200.0$500.0facility $339professional $224

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
Professional
Modifier
Global
Typical Low
$181.97
Median
$223.87
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$478.63
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$354.81
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$354.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$354.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$186.21

Where Montana 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.

Montana $240 · 13th 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.