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CT Scan Of One Breast, Without Contrast

New Jersey 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?

$200

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $200 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 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$200$174 to $224
FacilityA hospital or hospital-owned outpatient department$282$174 to $891

How much rates vary

Facilitymedian $282 · 10th to 90th $145 to $1,288Professionalmedian $200 · 10th to 90th $170 to $275
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $282professional $200

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
$173.78
Median
$891.25
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$363.08
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$346.74
Typical High
$467.74
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$457.09
Typical High
$12,589.25
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$263.03
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$177.83
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$117.49
Typical High
$213.80

Where New Jersey 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 Jersey $200 · 47th 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.