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CT Scan Of One Breast, Without Contrast

West Virginia 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?

$182

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $316 from a hospital or other facility.

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 3 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$170$95.50 to $224
FacilityA hospital or hospital-owned outpatient department$316$224 to $692

How much rates vary

Facilitymedian $316 · 10th to 90th $151 to $891Professionalmedian $170 · 10th to 90th $62 to $275
$50$100$200$500$1Kfacility $316professional $170

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
$446.68
Median
$446.68
Typical High
$501.19
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$194.98
Median
$194.98
Typical High
$223.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$223.87
Typical High
$891.25
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
United
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$61.66
Median
$131.83
Typical High
$263.03
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$57.54
Median
$131.83
Typical High
$263.03

Where West Virginia 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.

West Virginia· 42nd of 51

$182

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.