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CT Scan Of One Breast, Without Contrast

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $741 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$195$170 to $240
FacilityA hospital or hospital-owned outpatient department$741$437 to $1,000

How much rates vary

Facilitymedian $741 · 10th to 90th $195 to $1,288Professionalmedian $195 · 10th to 90th $145 to $331
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $741professional $195

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
$302.00
Median
$794.33
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$194.98
Typical High
$398.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$199.53
Typical High
$323.59
CareSource
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$1,698.24
Typical High
$41,686.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$2,238.72
Typical High
$5,495.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$457.09
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$275.42
Typical High
$954.99
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$457.09
Typical High
$676.08
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$275.42
Typical High
$933.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$50.12
Typical High
$60.26
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$70.79
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$95.50
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$112.20
Typical High
$204.17

Where Ohio 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.

Ohio $200 · 48th 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.