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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 October 2026.

How much does CT Scan Of One Breast, Without Contrast cost?

$158

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $603 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$158$135 to $204
FacilityA hospital or hospital-owned outpatient department$603$389 to $871

How much rates vary

Facilitymedian $603 · 10th to 90th $324 to $1,698Professionalmedian $158 · 10th to 90th $95 to $282
$100$200$500$1Kfacility $603professional $158

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$812.83
Typical High
$1,905.46
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$102.33
Median
$281.84
Typical High
$426.58
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$194.98
Median
$194.98
Typical High
$354.81
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$74.13
Median
$74.13
Typical High
$75.86
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$102.33
Typical High
$138.04
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$134.90
Median
$158.49
Typical High
$281.84
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$52.48
Median
$61.66
Typical High
$114.82
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$83.18
Median
$97.72
Typical High
$165.96
CareSource
Setting
Professional
Modifier
None (both parts)
Typical Low
$245.47
Median
$2,238.72
Typical High
$5,495.41
Cigna
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$416.87
Typical High
$676.08
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$239.88
Median
$302.00
Typical High
$954.99
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$436.52
Typical High
$707.95
Medical Mutual of Ohio
Setting
Professional
Modifier
None (both parts)
Typical Low
$239.88
Median
$275.42
Typical High
$954.99
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$39.81
Median
$50.12
Typical High
$60.26
SummaCare
Setting
Professional
Modifier
None (both parts)
Typical Low
$50.12
Median
$50.12
Typical High
$70.79
United
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$251.19
Typical High
$354.81
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$74.13
Median
$112.20
Typical High
$208.93
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$69.18
Median
$107.15
Typical High
$204.17
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$54.95
Median
$100.00
Typical High
$158.49

Where Ohio sits

The same service costs 7.8 times more in Alaska than in Michigan. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Ohio· 47th of 51

$158

AK $794MI $102

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.