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CT Scan Of One Breast, Without Contrast

Washington 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?

$275

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $331 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 9 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$275$219 to $372
FacilityA hospital or hospital-owned outpatient department$331$224 to $398

How much rates vary

Facilitymedian $331 · 10th to 90th $105 to $479Professionalmedian $275 · 10th to 90th $170 to $468
$50.0$100.0$200.0$500.0$1.0Kfacility $331professional $275

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
$223.87
Median
$223.87
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$309.03
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$338.84
Typical High
$602.56
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$389.05
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$309.03
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$316.23
Typical High
$549.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$50.12
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$398.11
Typical High
$398.11
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$275.42
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$389.05
Typical High
$588.84
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$316.23
Typical High
$602.56
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$389.05
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$323.59
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$125.89
Typical High
$288.40

Where Washington 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.

Washington $275 · 4th 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.