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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 October 2026.

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

$204

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $204 for this service. Most negotiated rates run $170 to $240.

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 $347Professionalmedian $204 · 10th to 90th $112 to $1,288
$100$200$500$1K$2Kfacility $204professional $204

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$186.21
Median
$204.17
Typical High
$257.04
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$70.79
Median
$75.86
Typical High
$97.72
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$128.82
Typical High
$141.25
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$398.11
Median
$478.63
Typical High
$954.99
Medica
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$2,511.89
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$112.20
Median
$223.87
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
$223.87
Typical High
$691.83
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$104.71
Median
$181.97
Typical High
$245.47
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$104.71
Median
$181.97
Typical High
$239.88

Where North Dakota 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.

North Dakota· 31st of 51

$204

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.