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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
Wayne, NJ $58.98 $14.60 – $67.34 8,914 6
Menlo Park, CA $14.92 $6.90 – $24.43 8,919 3
Lebanon, NH $30.66 $18.30 – $62.09 8,945 24
Newburgh, IN $43.61 $43.09 – $127.94 8,993 4
Bloomington, IN $56.11 $32.30 – $70.49 8,993 4
Hershey, PA $68.00 $29.43 – $100.30 8,996 16
Duluth, MN $41.06 $22.97 – $130.81 8,998 16
Muncie, IN $60.23 $27.65 – $127.95 9,017 4
Goodlettsville, TN $40.37 $5.11 – $105.97 9,023 15
Edmonds, WA $33.32 $33.32 – $33.32 9,069 1
Beverly, MA $35.93 $0.31 – $43.65 9,078 10
Murray, UT $39.75 $11.67 – $72.02 9,193 18
Cooperstown, NY $58.74 $25.26 – $98.11 9,194 10
Yuba City, CA $130.88 $0.00 – $214.18 9,217 10
Saint Joseph, MI $48.33 $48.33 – $48.33 9,229 1
Durham, NC $24.21 $0.00 – $80.85 9,277 36
Daly City, CA $51.36 $3.87 – $62.13 9,312 6
Mount Clemens, MI $35.69 $21.59 – $48.71 9,318 2
Mobile, AL $34.30 $0.00 – $50.37 9,347 12
Mission Viejo, CA $50.02 $0.00 – $117.58 9,363 7
Troy, NY $85.83 $25.84 – $95.43 9,382 3
San Leandro, CA $74.18 $14.50 – $119.33 9,393 5
Fort Worth, TX $46.12 $0.00 – $112.63 9,399 22
Hialeah, FL $60.27 $6.35 – $79.20 9,403 6
La Jolla, CA $57.56 $0.01 – $129.95 9,409 16
Danville, VA $68.90 $25.73 – $112.76 9,511 5
Orange Park, FL $36.87 $36.87 – $36.87 9,570 1
Old Bridge, NJ $54.30 $14.25 – $119.45 9,579 4
Lakeland, FL $38.63 $19.45 – $118.80 9,608 13
Voorhees, NJ $71.61 $30.76 – $288.07 9,631 16
Framingham, MA $45.38 $20.46 – $55.38 9,643 10
Kingsport, TN $30.04 $14.81 – $66.58 9,649 8
Grand Junction, CO $25.07 $8.57 – $30.41 9,750 10
Watsonville, CA $149.31 $142.00 – $173.80 9,753 2
Lancaster, PA $31.65 $30.10 – $34.45 9,760 16
Fishersville, VA $25.39 $24.80 – $30.00 9,867 5
Cumberland, MD $54.70 $21.50 – $92.46 9,873 12
Dover, DE $30.99 $0.00 – $103.92 9,875 14
Anderson, SC $29.99 $26.37 – $31.82 9,884 5
Fayetteville, NC $42.14 $0.00 – $79.28 9,898 16
East Providence, RI $44.21 $35.92 – $54.59 9,900 3
Las Piedras, PR $56.07 $3.75 – $57.92 9,971 2
Hopkinsville, KY $44.38 $17.55 – $72.49 9,986 4
Torrington, CT $84.15 $21.18 – $110.57 10,032 4
Eureka, CA $92.69 $36.50 – $173.39 10,057 7
Sayre, PA $59.16 $13.84 – $100.81 10,201 9
Rockville Centre, NY $30.38 $29.59 – $59.09 10,221 3
Monterey, CA $134.63 $39.08 – $167.29 10,227 3
French Camp, CA $91.77 $41.89 – $110.37 10,261 4
Stratford, NJ $123.47 $123.47 – $123.47 10,277 1

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.