Average Medicaid Mammogram Payments in Durham, NC: $24.21
Avg. Paid
$24.21
Range
$0.00 – $80.85
Total Claims
9,277
Providers
36
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.
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.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Mammogram in Durham, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stuart Craig Hebert
2100 Erwin Rd |
$25.04 | 1,702 | 1,656 |
|
Andrew F Ryan
2100 Erwin Rd |
$18.35 | 1,509 | 1,451 |
|
Parlyn Denise Hatch
2100 Erwin Rd |
$26.48 | 1,302 | 1,211 |
|
Brian Donald Fogler
2301 Erwin Road |
$56.75 | 794 | 716 |
|
Kristin Elizabeth Ito
1301 Fayetteville St |
$11.46 | 573 | 518 |
|
William Kenneth Mask
5921 Beech Bluff Ln |
$23.24 | 567 | 544 |
|
Mark H Neely
3643 N Roxboro St |
$12.46 | 460 | 356 |
|
Kevin Carl Gengel
2301 Erwin Rd |
$33.98 | 329 | 324 |
|
Robert Thomas Abbott
2100 Erwin Rd |
$48.49 | 255 | 242 |
|
Durham Radiology Associates, Inc.
3643 N Roxboro St |
$0.00 | 243 | 171 |
|
William Lee Hall
3643 N Roxboro St |
$17.42 | 172 | 147 |
|
Christopher Miguel Cepeda
3643 N Roxboro St |
$11.23 | 147 | 122 |
|
Sheila Seto Lee
2301 Erwin Rd |
$20.68 | 143 | 136 |
|
Ashley Grant Merritt
3643 N Roxboro St |
$15.65 | 138 | 128 |
|
Benjamin B Smith
712 Valley Dr |
$16.56 | 127 | 98 |
|
David Evans Peterson
2301 Erwin Rd |
$22.65 | 93 | 92 |
|
Alexie Danielle Riofrio
3643 N Roxboro St |
$12.95 | 92 | 67 |
|
Eun Lee Langman
2301 Erwin Rd |
$13.08 | 91 | 84 |
|
Michael P Stoll
3643 N Roxboro St |
$9.96 | 63 | 56 |
|
Connie Eunjung Kim
4101 N Roxboro St |
$12.09 | 55 | 53 |
|
Theresa Xuan Pham
2301 Erwin Rd |
$18.82 | 47 | 47 |
|
Teresa T Brown
3643 N Roxboro St |
$9.64 | 46 | 34 |
|
Sora Christina Yoon
4101 N Roxboro St |
$13.00 | 42 | 42 |
|
Derek Le Nguyen
20 Duke Medicine Cir |
$13.76 | 39 | 39 |
|
Scott Penny
2301 Erwin Rd |
$28.82 | 38 | 36 |
|
Andrew I Choi
3643 N Roxboro St |
$5.32 | 31 | 24 |
|
Jay Alan Baker
Duke University Medical Ctr |
$10.44 | 31 | 30 |
|
Anne-Olivia Raulli
2100 Erwin Road |
$3.09 | 29 | 13 |
|
Rajiv Girish Rao
2301 Erwin Rd Rm 1502 |
$26.05 | 26 | 26 |
|
Veronica Y Ruvo
2252 Jollay St |
$18.46 | 15 | 12 |
|
Meghana Konanur
2301 Erwin Rd |
$80.85 | 14 | 12 |
|
Lars J Grimm
2301 Erwin Rd |
$15.98 | 14 | 13 |
|
Hemang J Pathak
3643 N Roxboro St |
$28.46 | 13 | 13 |
|
Dallin Jay Johansen
2301 Erwin Rd |
$18.72 | 13 | 13 |
|
Mustafa Shadi Rifaat Bashir
2100 Erwin Rd |
$73.23 | 12 | 12 |
|
Anil Nagavalli
2301 Erwin Rd |
$18.97 | 12 | 12 |
What to Expect: Mammogram
A mammogram takes about 20 minutes. Each breast is compressed between two plates while X-ray images are taken from different angles. The compression may be uncomfortable but lasts only a few seconds. No radiation stays in your body. Results are typically available within a few days.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| 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 are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Mammogram cost in Durham, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in Durham, NC is $24.21 per claim, based on 9,277 claims from 36 providers. Typical payments fall between $22.83 and $64.57. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Mammogram in Durham, NC?
There are 36 Medicaid providers offering Mammogram related services in Durham, NC according to public payment data.
What is the price range for Mammogram in Durham, NC?
Medicaid reimbursement for Mammogram in Durham, NC ranges from $0.00 to $80.85 per claim, with an average of $24.21. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Mammogram in Other Cities
New York, NY
Avg $96.89
590,370 claims · 204 providers
Los Angeles, CA
Avg $89.04
465,286 claims · 243 providers
San Diego, CA
Avg $92.45
293,275 claims · 98 providers
Boston, MA
Avg $43.14
279,778 claims · 152 providers
Chicago, IL
Avg $34.46
204,702 claims · 133 providers
Brooklyn, NY
Avg $82.65
200,435 claims · 90 providers
Bronx, NY
Avg $85.57
190,383 claims · 49 providers
Cleveland, OH
Avg $20.56
177,724 claims · 114 providers
Other Procedures in Durham, NC
Office Visit
Avg $53.48
1,229,002 claims
Dental Cleaning & Exam
Avg $29.86
790,132 claims
Substance Abuse Treatment
Avg $122.82
746,211 claims
X-Ray
Avg $5.74
576,677 claims
Blood Work & Lab Tests
Avg $13.80
572,218 claims
Speech Therapy
Avg $57.51
491,949 claims
Psychiatric Evaluation
Avg $65.37
472,359 claims
Emergency Room Visit
Avg $105.90
448,598 claims