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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 July 2026.

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

$204

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $204 for this service. Most negotiated rates run $182 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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $347 · 10th to 90th $263 to $1,820Professionalmedian $182 · 10th to 90th $132 to $229
$100.0$200.0$500.0$1.0Kfacility $347professional $182

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. 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
Global
Typical Low
$204.17
Median
$1,819.70
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$204.17
Medica
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$338.84
Typical High
$446.68
Medica
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$177.83
Typical High
$316.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$194.98
Typical High
$257.04

Where South Dakota sits

The same service costs 1.7 times more in Minnesota than in Hawaii. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $204 · 46th of 51
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.