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CT Scan Of One Breast, Without Contrast

Utah 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 Utah, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $1,288 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 7 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$209$151 to $229
FacilityA hospital or hospital-owned outpatient department$1,288$219 to $2,188

How much rates vary

Facilitymedian $1,288 · 10th to 90th $219 to $2,884Professionalmedian $209 · 10th to 90th $95 to $245
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $1,288professional $209

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
$218.78
Median
$2,187.76
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$218.78
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$524.81
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$371.54
Typical High
$416.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$218.78
Typical High
$426.58
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$229.09
Typical High
$309.03
Select Health
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Select Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$141.25
Typical High
$147.91
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$158.49
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$95.50
Typical High
$186.21

Where Utah 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.

Utah $209 · 38th 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.