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CT Scan Of One Breast, Without Contrast

North Dakota 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 North Dakota, July 2026.

Insurers have agreed to pay about $204 for this service. Most negotiated rates run $186 to $224.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $204 · 10th to 90th $204 to $355Professionalmedian $204 · 10th to 90th $186 to $316
$100.0$200.0$500.0$1.0K$2.0Kfacility $204professional $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
$204.17
Median
$204.17
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$204.17
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$478.63
Typical High
$954.99
Medica
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$309.03
Typical High
$354.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$199.53
Typical High
$1,288.25
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$190.55
Typical High
$288.40

Where North Dakota 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.

North Dakota $204 · 45th 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.