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Based on public Medicaid payment data.

Average Medicaid Mammogram Payments

Typical Medicaid Mammogram reimbursement across 2,650 cities

Avg. Medicaid Paid

$56.78

Price Range

$0.00 – $494.67

Total Claims

18.6M

Cities

2650

Typical Payment Range

Typical Medicaid Mammogram payments fall between $22.83 and $64.57 per claim (median: $31.80). The top 10% of payments exceed $101.82.

Based on per-provider averages across all Medicaid claims in this category.

About This Procedure

A mammogram is an X-ray of the breast used to detect and diagnose breast disease. Screening mammograms check for breast cancer in women without symptoms.

Why do these costs look low?

These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.

Costs by City

City Avg. Paid Min / Max Claims Providers
New York, NY $96.89 $0.00 – $192.12 590,370 204
Los Angeles, CA $89.04 $0.00 – $555.53 465,286 243
San Diego, CA $92.45 $0.00 – $271.76 293,275 98
Boston, MA $43.14 $0.00 – $167.99 279,778 152
Chicago, IL $34.46 $0.00 – $129.15 204,702 133
Brooklyn, NY $82.65 $0.00 – $145.66 200,435 90
Bronx, NY $85.57 $0.00 – $127.18 190,383 49
Cleveland, OH $20.56 $0.00 – $47.33 177,724 114
Grand Rapids, MI $26.29 $3.19 – $82.01 159,802 23
Louisville, KY $46.45 $8.92 – $91.08 151,713 50
Philadelphia, PA $55.76 $0.00 – $290.19 150,991 120
Columbus, OH $25.79 $13.51 – $121.02 148,096 89
Detroit, MI $33.89 $5.65 – $50.71 147,173 9
Sacramento, CA $54.86 $0.00 – $163.50 143,410 99
Washington, DC $57.97 $0.00 – $159.40 134,642 61
Indianapolis, IN $41.43 $3.16 – $290.88 127,920 94
Tucson, AZ $73.61 $0.00 – $118.57 113,786 55
Phoenix, AZ $56.60 $0.00 – $122.03 112,995 45
Hartford, CT $63.25 $19.98 – $123.48 109,658 44
Dearborn, MI $32.94 $23.16 – $76.41 106,654 6
Rochester, NY $69.90 $16.03 – $119.81 105,430 49
Lexington, KY $42.39 $19.41 – $86.91 105,331 34
Las Vegas, NV $84.30 $0.00 – $141.48 102,713 73
Richmond, VA $37.07 $10.35 – $104.32 102,384 40
New Orleans, LA $30.62 $5.74 – $111.73 101,762 49
Milwaukee, WI $28.14 $11.81 – $99.07 99,748 49
Worcester, MA $43.09 $6.24 – $164.06 98,849 47
Baltimore, MD $89.03 $0.00 – $161.32 94,417 79
San Francisco, CA $46.03 $0.00 – $228.21 89,350 88
New Haven, CT $59.78 $9.86 – $107.35 88,413 36
Bakersfield, CA $92.47 $30.46 – $139.89 85,264 37
San Juan, PR $62.47 $0.00 – $104.59 81,603 31
Torrance, CA $58.34 $0.00 – $97.11 81,600 39
East Brunswick, NJ $54.62 $17.85 – $117.13 78,085 41
Oakland, CA $107.68 $19.56 – $277.04 76,916 30
Baton Rouge, LA $31.90 $0.00 – $120.03 76,203 77
Royal Oak, MI $31.56 $6.68 – $74.85 76,200 8
Albuquerque, NM $100.83 $4.79 – $144.40 73,956 59
Camden, NJ $75.11 $10.91 – $130.66 70,589 19
Lindenhurst, NY $107.44 $35.95 – $136.03 68,071 12
Cincinnati, OH $30.92 $18.35 – $158.97 66,973 54
Seattle, WA $29.89 $0.37 – $94.09 65,858 51
Honolulu, HI $123.40 $0.00 – $585.35 65,814 41
Portland, OR $38.65 $0.00 – $308.20 61,342 76
Ponce, PR $102.30 $27.00 – $119.21 60,777 12
Miami, FL $44.61 $0.00 – $129.77 59,718 59
Charlotte, NC $54.34 $9.97 – $93.96 58,740 64
Flushing, NY $128.46 $0.00 – $161.09 58,650 19
Warwick, RI $52.70 $25.96 – $104.52 58,493 25
Pomona, CA $73.62 $0.00 – $121.07 57,873 14

Cost Components

National averages for each billing code in this procedure category. Sorted by claim volume.

Code Description Avg. Paid Claims Providers
77067 Screening mammography bilat $54.55 16,804,864 14,213
77066 Mammography bilateral $69.03 1,739,653 4,212
77065 Mammography unilateral $54.40 1,315,705 3,633
G0202 Scr mammo bi incl cad $40.71 4,792 88
G0204 Dx mammo incl cad bi $49.50 367 9
G0206 Dx mammo incl cad uni $51.17 126 5

These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.