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CT Scan Of One Breast, Without Contrast

Wisconsin 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?

$288

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $389 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$282$195 to $457
FacilityA hospital or hospital-owned outpatient department$389$214 to $447

How much rates vary

Facilitymedian $389 · 10th to 90th $191 to $631Professionalmedian $282 · 10th to 90th $162 to $776
$100$200$500$1K$2Kfacility $389professional $282

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
$199.53
Median
$389.05
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$223.87
Typical High
$398.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$302.00
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$288.40
Typical High
$338.84
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$389.05
Typical High
$602.56
Medica
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$269.15
Typical High
$933.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$194.98
Typical High
$1,288.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$416.87
Quartz
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$467.74
Typical High
$660.69
Quartz
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$2,630.27
Typical High
$2,630.27
Quartz
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$1,288.25
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$177.83
Typical High
$389.05

Where Wisconsin sits

The same service costs 1.7 times more in Minnesota than in Hawaii. 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.

Wisconsin· 3rd of 51

$288

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.