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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
Charleston, SC $37.28 $0.00 – $76.80 20,650 26
Atlanta, GA $22.64 $3.82 – $101.53 20,840 36
Spartanburg, SC $40.13 $23.73 – $76.30 20,923 16
Middletown, CT $95.65 $17.62 – $196.14 21,047 12
Alexandria, LA $25.30 $22.88 – $121.21 21,055 14
Allentown, PA $43.80 $29.80 – $101.00 21,109 24
Morgantown, WV $50.49 $21.61 – $79.15 21,789 11
Lakewood, CA $50.33 $0.00 – $50.36 21,852 2
Troy, MI $48.05 $32.65 – $48.07 21,898 2
Santa Barbara, CA $81.84 $18.41 – $163.74 21,945 34
Shelton, CT $43.44 $18.37 – $92.98 21,987 11
Concord, MA $69.99 $21.37 – $72.67 22,080 5
Arecibo, PR $76.72 $19.26 – $79.49 22,227 5
Visalia, CA $48.52 $18.18 – $168.83 22,422 12
Santa Cruz, CA $89.63 $5.85 – $153.32 22,460 13
Kalamazoo, MI $38.51 $7.45 – $50.72 22,464 5
Farmington Hills, MI $37.43 $14.36 – $127.29 22,495 5
Syracuse, NY $63.84 $22.30 – $117.34 22,572 24
Victorville, CA $38.01 $0.00 – $107.47 22,740 8
Owensboro, KY $30.36 $21.68 – $102.96 23,033 11
Pittsfield, MA $44.20 $22.16 – $84.48 23,099 4
Fairfax, VA $87.52 $9.63 – $158.65 23,128 24
Salem, MA $24.54 $3.02 – $27.26 23,137 12
Southfield, MI $29.66 $21.36 – $79.94 23,376 6
Huntington, WV $32.11 $15.31 – $58.23 23,688 24
Madison, WI $29.86 $9.12 – $675.35 23,740 35
Burlington, MA $41.20 $12.05 – $92.48 24,040 15
Richmond Hill, NY $101.68 $77.60 – $149.37 24,040 4
Mesa, AZ $92.71 $0.00 – $112.84 24,212 17
Evansville, IN $35.80 $0.00 – $119.24 24,224 19
Aurora, CO $54.00 $23.93 – $137.11 24,393 14
Pasadena, CA $41.19 $0.00 – $82.52 24,621 16
Long Branch, NJ $70.01 $6.47 – $126.46 24,633 6
New Britain, CT $89.52 $18.90 – $108.03 25,228 7
Roanoke, VA $43.17 $16.61 – $78.50 25,378 15
Danbury, CT $89.44 $25.72 – $132.02 25,468 12
Cambridge, MA $37.23 $2.82 – $122.26 25,479 21
Jersey City, NJ $79.49 $20.63 – $96.61 25,860 5
Lafayette, CA $90.19 $83.57 – $103.47 25,931 2
Livingston, NJ $62.73 $12.83 – $91.46 26,005 12
Roseville, MN $34.71 $9.31 – $69.70 26,173 30
Pleasanton, CA $42.88 $22.09 – $132.59 26,216 5
Vallejo, CA $64.48 $0.26 – $236.33 26,240 8
Youngstown, OH $30.53 $10.36 – $50.25 26,270 14
Mayaguez, PR $59.42 $0.00 – $81.71 26,356 12
Plantation, FL $19.77 $0.00 – $112.14 26,371 5
Guaynabo, PR $83.60 $0.00 – $102.63 26,429 6
Muskegon, MI $32.72 $22.17 – $86.35 26,544 4
Laguna Hills, CA $34.13 $0.00 – $89.56 26,587 9
Gilbert, AZ $86.61 $31.01 – $91.84 26,821 5

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.