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CT Scan Of One Breast, Without Contrast

New Mexico 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?

$224

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $240 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$224$174 to $275
FacilityA hospital or hospital-owned outpatient department$240$195 to $316

How much rates vary

Facilitymedian $240 · 10th to 90th $170 to $457Professionalmedian $224 · 10th to 90th $95 to $316
$0.1$1.0$10.0$100.0$1.0Kfacility $240professional $224

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
$389.05
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$239.88
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$85.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$239.88
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$204.17
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$95.50
Typical High
$218.78

Where New Mexico 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 Mexico $224 · 22nd 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.