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CT Scan Of One Breast, Without Contrast

Oklahoma 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?

$191

Typical negotiated rate. In Oklahoma, October 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $302 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$132$102 to $1,288
FacilityA hospital or hospital-owned outpatient department$302$251 to $407

How much rates vary

Facilitymedian $302 · 10th to 90th $204 to $1,072Professionalmedian $132 · 10th to 90th $93 to $1,288
$50$100$200$500$1K$2Kfacility $302professional $132

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
$251.19
Median
$407.38
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$194.98
Median
$251.19
Typical High
$257.04
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$74.13
Median
$95.50
Typical High
$97.72
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$120.23
Median
$131.83
Typical High
$131.83
BCBS Oklahoma
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$269.15
Typical High
$380.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$223.87
Median
$380.19
Typical High
$478.63
Medica
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$275.42
Typical High
$2,511.89
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$93.33
Median
$165.96
Typical High
$1,288.25
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$93.33
Median
$162.18
Typical High
$691.83
United
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$169.82
Typical High
$269.15
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$89.13
Median
$112.20
Typical High
$162.18
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$89.13
Median
$112.20
Typical High
$162.18

Where Oklahoma 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.

Oklahoma· 37th of 51

$191

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.