Skip to content
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
Burton, MI $72.68 $66.05 – $74.29 7,559 2
Petoskey, MI $33.04 $21.91 – $74.88 7,567 4
West Palm Beach, FL $31.62 $27.23 – $113.82 7,572 3
Bethlehem, PA $34.73 $29.33 – $95.62 7,587 11
Chapel Hill, NC $34.11 $15.75 – $128.07 7,621 14
Fountain Valley, CA $60.73 $18.75 – $88.81 7,662 5
Battle Creek, MI $43.41 $22.42 – $49.94 7,672 3
Biddeford, ME $54.27 $54.27 – $54.27 7,686 1
Glenwood Springs, CO $31.64 $4.98 – $142.41 7,745 13
Prescott, AZ $45.23 $20.66 – $46.35 7,793 7
Germantown, MD $101.06 $43.09 – $108.77 7,810 7
Hoffman Estates, IL $25.42 $22.49 – $26.91 7,812 5
Racine, WI $24.07 $24.07 – $24.07 7,879 1
Avenel, NJ $30.06 $17.53 – $110.25 7,881 7
Suffolk, VA $34.54 $34.48 – $40.12 7,901 2
Salisbury, MD $69.94 $0.00 – $127.70 7,902 18
Wexford, PA $25.81 $21.54 – $108.25 7,918 4
Medford, MA $28.03 $2.30 – $28.79 7,925 4
Bristol, TN $32.80 $12.47 – $60.91 7,950 11
Tracy, CA $82.25 $8.21 – $160.98 8,018 7
West Columbia, SC $18.33 $1.08 – $94.95 8,022 8
Havre, MT $25.38 $0.00 – $32.23 8,039 3
Missoula, MT $10.79 $0.00 – $31.65 8,051 9
Rancho Mirage, CA $47.07 $0.00 – $97.59 8,073 8
Chicopee, MA $74.10 $65.00 – $78.29 8,092 4
Fremont, CA $104.48 $28.82 – $209.13 8,138 8
Morehead, KY $59.14 $22.86 – $89.59 8,153 4
Gallipolis, OH $39.68 $27.39 – $67.36 8,171 7
Prestonsburg, KY $40.36 $19.80 – $53.32 8,195 3
Plattsburgh, NY $41.02 $27.26 – $51.35 8,200 12
San Sebastian, PR $50.00 $18.00 – $72.01 8,448 2
Greenwood, SC $18.26 $10.10 – $46.47 8,456 6
Hicksville, NY $115.52 $110.29 – $118.86 8,500 2
Mishawaka, IN $32.80 $21.90 – $195.00 8,508 13
Johnson City, NY $64.25 $18.48 – $95.15 8,589 7
Toms River, NJ $92.90 $16.94 – $117.99 8,621 6
Hamilton, NJ $43.14 $15.22 – $70.58 8,643 18
Plymouth, MA $32.28 $14.99 – $47.60 8,677 7
Southbridge, MA $32.45 $24.17 – $36.47 8,685 2
Greensboro, NC $33.55 $17.52 – $155.98 8,687 20
Merrillville, IN $34.63 $15.99 – $148.60 8,716 3
Hemet, CA $99.78 $27.11 – $123.98 8,726 8
Kissimmee, FL $43.63 $25.33 – $66.49 8,745 4
Grosse Pointe, MI $50.07 $50.07 – $50.07 8,798 1
Ventura, CA $131.78 $131.78 – $131.78 8,812 1
Clinton Twp, MI $46.62 $18.35 – $48.90 8,859 2
Lewisberry, PA $34.27 $29.07 – $46.63 8,861 17
Southbury, CT $30.52 $20.83 – $98.59 8,887 6
Placerville, CA $87.17 $26.47 – $117.08 8,898 6
Gainesville, GA $44.42 $5.52 – $80.65 8,901 12

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.