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CT Scan Of One Breast, Without Contrast

New Hampshire 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 New Hampshire, July 2026.

Insurers have agreed to pay about $240 for this service. Most negotiated rates run $178 to $389.

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.

How much rates vary

Facilitymedian $4,074 · 10th to 90th $661 to $5,754Professionalmedian $240 · 10th to 90th $158 to $513
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $4,074professional $240

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
Professional
Modifier
Global
Typical Low
$169.82
Median
$194.98
Typical High
$223.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$660.69
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$371.54
Typical High
$602.56
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$338.84
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$218.78
Typical High
$537.03
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$4,168.69
Typical High
$5,754.40

Where New Hampshire 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.

New Hampshire $240 · 16th 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.