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CT Scan Of One Breast, Without Contrast

South Carolina 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?

$224

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $224 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 5 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$224$195 to $275
FacilityA hospital or hospital-owned outpatient department$316$240 to $1,622

How much rates vary

Facilitymedian $316 · 10th to 90th $195 to $2,512Professionalmedian $224 · 10th to 90th $170 to $275
$100$200$500$1K$2Kfacility $316professional $224

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
$275.42
Median
$1,621.81
Typical High
$4,265.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$223.87
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$588.84
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$346.74
Typical High
$524.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$398.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$109.65
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$123.03
Typical High
$213.80

Where South Carolina 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.

South Carolina· 24th of 51

$224

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.