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CT Scan Of One Breast, Without Contrast

Pennsylvania 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?

$209

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $676 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 6 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$204$182 to $224
FacilityA hospital or hospital-owned outpatient department$676$257 to $759

How much rates vary

Facilitymedian $676 · 10th to 90th $229 to $955Professionalmedian $204 · 10th to 90th $170 to $275
$100$200$500$1K$2Kfacility $676professional $204

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
$229.09
Median
$676.08
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$208.93
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$288.40
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$269.15
Typical High
$398.11
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$275.42
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$676.08
Typical High
$1,659.59
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$208.93
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$251.19
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$114.82
Typical High
$194.98

Where Pennsylvania sits

The same service costs 1.7 times more in Minnesota than in Hawaii. 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.

Pennsylvania· 39th of 51

$209

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.