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CT Scan Of Both Breasts, Without Contrast

Utah rates for HCPCS 0636T

A CT scan of both breasts, taken without any contrast dye, with three-dimensional pictures built from the data when they are useful. It produces cross-sectional views through both breasts rather than the flattened views a mammogram gives.

Rates data updated July 2026.

How much does CT Scan Of Both Breasts, Without Contrast cost?

$219

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $219 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$178 to $240
FacilityA hospital or hospital-owned outpatient department$1,288$398 to $2,188

How much rates vary

Facilitymedian $1,288 · 10th to 90th $219 to $2,884Professionalmedian $209 · 10th to 90th $107 to $275
$100$200$500$1K$2Kfacility $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
$407.38
Median
$524.81
Typical High
$630.96
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
$398.11
Median
$501.19
Typical High
$933.25
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
$309.03
Median
$309.03
Typical High
$309.03
Select Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$309.03
Typical High
$323.59
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
$138.04
Median
$138.04
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$407.38

Where Utah sits

The same service costs 1.8 times more in Wisconsin than in Rhode Island. 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.

Utah· 43rd of 51

$219

WI $355RI $200

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.