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Based on public Medicaid payment data.

Average Medicaid Mammogram Payments in Modesto, CA: $92.46

Avg. Paid

$92.46

Range

$27.03 – $153.90

Total Claims

29,947

Providers

19

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 Modesto, CA

Provider Avg. Paid Claims Patients
Michael Courtney Dumars

1239 Mchenry Ave Ste A

$35.40 8,267 8,201
Stanislaus Surgical Hospital Llc

1421 Oakdale Rd

$143.34 7,265 7,182
Modesto Radiology Imaging, Inc.

1524 Mchenry Ave

$140.17 2,891 2,875
Kirsten Lee Gaarder

1524 Mchenry Ave

$64.32 2,830 2,818
Michael Andrew Zeppa

1524 Mchenry Ave

$105.71 2,334 2,332
Tianlu Li Snook

600 Coffee Rd

$130.57 1,443 1,440
Scott Alan Alexander

600 Coffee Rd

$92.41 1,366 1,358
Modesto Advanced Diagnostic Imaging Medical Center

157 E Coolidge Ave

$131.71 995 991
Joanne B. Lim

4601 Dale Rd

$75.77 632 317
Patricia A. Orlino

4601 Dale Rd

$62.10 542 315
Modesto Radiological Medical Group, Inc.

1524 Mchenry Ave

$27.03 517 517
Kirk R. Simon

4601 Dale Rd

$71.51 335 202
Wenji Jiang

4601 Dale Rd

$39.72 289 152
John Samuel Martin

1524 Mchenry Ave

$48.75 80 80
Binh Tuan Quach

600 Coffee Rd

$144.97 78 65
Sunita Verma

600 Coffee Rd

$39.81 26 26
Silvia Margarita Diego

1317 Oakdale Rd

$132.59 24 24
Jerry Grigoropoulos

1524 Mchenry Ave

$153.90 18 18
Elisa R. Martinez

2101 Tenaya Dr

$132.59 15 15

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 Modesto, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in Modesto, CA is $92.46 per claim, based on 29,947 claims from 19 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 Modesto, CA?

There are 19 Medicaid providers offering Mammogram related services in Modesto, CA according to public payment data.

What is the price range for Mammogram in Modesto, CA?

Medicaid reimbursement for Mammogram in Modesto, CA ranges from $27.03 to $153.90 per claim, with an average of $92.46. Private insurance and self-pay costs are typically higher than these Medicaid rates.

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