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CT Scan Of One Breast, Without Contrast

Tennessee 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?

$275

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $275 for this service. Most negotiated rates run $166 to $1,288.

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 $447 · 10th to 90th $275 to $794Professionalmedian $275 · 10th to 90th $112 to $1,738
$100$200$500$1Kfacility $447professional $275

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
$275.42
Median
$549.54
Typical High
$794.33
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$316.23
Median
$380.19
Typical High
$416.87
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$213.80
Median
$275.42
Typical High
$323.59
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$54.95
Median
$54.95
Typical High
$97.72
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$128.82
Median
$218.78
Typical High
$229.09
BCBS Tennessee
Setting
Professional
Modifier
None (both parts)
Typical Low
$114.82
Median
$229.09
Typical High
$398.11
BCBS Tennessee
Setting
Professional
Modifier
26 · Professional part
Typical Low
$64.57
Median
$91.20
Typical High
$158.49
BCBS Tennessee
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$144.54
Typical High
$251.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$288.40
Typical High
$446.68
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$263.03
Median
$316.23
Typical High
$446.68
Lucent Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,288.25
Median
$1,737.80
Typical High
$1,737.80
Lucent Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$478.63
Median
$616.60
Typical High
$616.60
Lucent Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$691.83
Median
$933.25
Typical High
$933.25
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$100.00
Median
$117.49
Typical High
$208.93
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$81.28
Median
$151.36
Typical High
$199.53
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$72.44
Median
$109.65
Typical High
$177.83

Where Tennessee 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.

Tennessee· 10th of 51

$275

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.