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CT Scan Of One Breast, Without Contrast

New York 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?

$257

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $316 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 8 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$245$195 to $316
FacilityA hospital or hospital-owned outpatient department$316$219 to $1,072

How much rates vary

Facilitymedian $316 · 10th to 90th $174 to $1,202Professionalmedian $245 · 10th to 90th $158 to $363
$100.0$1.0K$10.0Kfacility $316professional $245

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
$186.21
Median
$912.01
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$218.78
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$323.59
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$269.15
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$954.99
Typical High
$954.99
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$331.13
Typical High
$501.19
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$138.04
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$181.97
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$120.23
Typical High
$245.47
Univera
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Univera
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$457.09

Where New York 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 York $257 · 8th 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.