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CT Scan Of One Breast, Without Contrast

Nebraska 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?

$191

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $282 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 6 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$191$186 to $224
FacilityA hospital or hospital-owned outpatient department$282$178 to $372

How much rates vary

Facilitymedian $282 · 10th to 90th $110 to $692Professionalmedian $191 · 10th to 90th $151 to $363
$100.0$200.0$500.0$1.0K$2.0Kfacility $282professional $191

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. 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
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$223.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$436.52
Typical High
$851.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$354.81
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$446.68
Typical High
$870.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$309.03
Typical High
$2,511.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$181.97
Typical High
$1,288.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$478.63
Typical High
$891.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$138.04
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$194.98
Typical High
$251.19

Where Nebraska 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.

Nebraska $191 · 49th 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.