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CT Scan Of One Breast, Without Contrast

South Dakota 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?

$204

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $204 for this service. Most negotiated rates run $132 to $224.

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.

How much rates vary

Facilitymedian $309 · 10th to 90th $263 to $501Professionalmedian $200 · 10th to 90th $123 to $240
$100$200$500$1Kfacility $309professional $200

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$181.97
Median
$181.97
Typical High
$194.98
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Medica
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$309.03
Typical High
$309.03
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$123.03
Median
$204.17
Typical High
$1,288.25
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$123.03
Median
$204.17
Typical High
$691.83
Midlands
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$114.82
Median
$199.53
Typical High
$223.87
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$38.90
Median
$199.53
Typical High
$223.87

Where South Dakota 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.

South Dakota· 30th of 51

$204

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.