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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
Augusta, GA $53.75 $17.34 – $67.95 12,067 8
Johnson City, TN $19.04 $11.18 – $39.99 12,069 12
Jamaica, NY $80.29 $27.49 – $116.96 12,069 7
Clackamas, OR $205.09 $23.06 – $375.74 12,087 14
Reno, NV $77.40 $13.23 – $125.57 12,113 15
Houma, LA $38.55 $26.42 – $74.94 12,130 18
Great Falls, MT $18.52 $0.00 – $75.15 12,160 12
Canovanas, PR $33.74 $26.50 – $82.57 12,167 2
Corona, CA $73.94 $0.01 – $222.61 12,203 5
Hilo, HI $68.68 $0.00 – $95.17 12,225 9
Warren, MI $36.60 $17.74 – $49.17 12,252 4
Pontiac, MI $49.03 $20.19 – $63.79 12,267 4
Utica, NY $81.82 $28.61 – $109.74 12,313 12
St Francis, WI $45.58 $27.08 – $106.98 12,357 25
Winston Salem, NC $22.03 $16.97 – $89.04 12,477 21
Bethesda, MD $94.01 $15.94 – $124.10 12,480 5
Chico, CA $85.63 $34.71 – $113.21 12,502 7
Winchester, VA $37.26 $22.36 – $58.49 12,509 16
Salt Lake City, UT $18.57 $11.55 – $66.94 12,585 12
Merced, CA $146.15 $33.44 – $162.06 12,631 4
Augusta, ME $31.75 $12.84 – $37.49 12,658 7
Vega Baja, PR $83.71 $71.02 – $87.97 12,663 3
Lima, OH $24.52 $19.44 – $37.76 12,686 10
Portsmouth, OH $21.48 $12.34 – $37.84 12,689 10
Pikeville, KY $30.17 $22.31 – $40.05 12,875 5
Silverdale, WA $26.38 $21.49 – $28.69 12,905 8
Jackson, TN $14.20 $9.18 – $28.16 12,957 8
York, PA $38.52 $17.76 – $88.00 13,221 14
Federal Way, WA $27.06 $14.91 – $75.24 13,268 13
Falls Church, VA $53.05 $39.91 – $164.37 13,344 7
San Antonio, TX $40.11 $0.00 – $99.35 13,402 29
Turlock, CA $109.68 $109.68 – $109.68 13,417 1
Carolina, PR $49.93 $21.58 – $113.38 13,492 6
Chesapeake, VA $27.12 $20.96 – $43.87 13,705 8
Bowling Green, KY $70.69 $24.38 – $79.79 13,741 6
Fargo, ND $71.66 $24.88 – $149.04 13,777 16
Des Moines, IA $36.78 $0.00 – $113.76 13,828 17
Yauco, PR $81.77 $80.28 – $91.64 13,839 2
Edison, NJ $97.57 $3.56 – $110.94 13,843 8
Florence, SC $12.99 $3.45 – $52.25 13,858 6
Wyoming, MI $33.70 $15.88 – $34.88 13,938 4
Vineland, NJ $106.61 $11.08 – $138.02 13,972 10
Kingman, AZ $44.48 $1.58 – $66.17 14,035 5
Oklahoma City, OK $91.00 $1.44 – $203.91 14,048 33
Richland, WA $26.60 $21.93 – $27.80 14,099 4
Hammond, LA $30.62 $13.95 – $79.12 14,132 15
Wheeling, WV $45.42 $17.00 – $331.92 14,178 22
Russell Springs, KY $78.41 $75.80 – $125.38 14,199 2
Raleigh, NC $31.40 $14.68 – $79.16 14,252 41
Renton, WA $13.42 $13.21 – $21.84 14,515 2

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.