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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
Eden Prairie, MN $43.48 $9.17 – $145.99 26,908 60
Hanford, CA $3.94 $3.09 – $34.82 26,989 2
Lafayette, LA $33.34 $0.00 – $144.84 27,107 26
Greenville, SC $53.51 $12.75 – $93.12 27,245 36
Traverse City, MI $28.22 $21.62 – $46.58 27,586 2
Virginia Beach, VA $27.66 $8.80 – $118.07 27,781 16
Long Beach, CA $35.26 $0.00 – $151.74 28,308 24
Moreno Valley, CA $66.52 $0.01 – $90.75 28,577 10
Panorama City, CA $75.48 $0.00 – $108.87 28,611 12
Manhasset, NY $103.78 $16.49 – $117.68 28,687 10
Norwalk, CT $92.88 $14.26 – $135.69 28,893 10
Saginaw, MI $34.38 $21.33 – $46.16 28,897 7
Santa Rosa, CA $78.25 $0.00 – $145.52 29,124 16
Englewood, CO $62.83 $12.17 – $120.37 29,432 32
Lowell, MA $40.46 $6.75 – $43.85 29,530 6
Caguas, PR $105.15 $5.87 – $121.06 29,755 7
Lansing, MI $37.30 $12.08 – $76.41 29,787 7
Modesto, CA $92.46 $27.03 – $153.90 29,947 19
Bangor, ME $30.04 $7.44 – $53.61 30,052 25
Morristown, NJ $87.01 $9.47 – $121.35 30,261 10
Bayamon, PR $64.80 $1.83 – $107.00 30,672 20
Maywood, IL $37.71 $19.12 – $129.79 30,865 24
Bend, OR $48.53 $20.01 – $303.11 31,054 20
Buffalo, NY $74.20 $15.14 – $108.33 31,118 28
Jackson, MS $41.61 $1.24 – $80.14 31,124 27
Walnut Creek, CA $46.86 $0.00 – $120.38 31,146 29
Las Cruces, NM $84.58 $36.79 – $233.61 31,326 9
Providence, RI $53.09 $24.28 – $215.08 31,541 16
Edgewood, KY $48.28 $19.47 – $73.57 32,188 13
Beverly Hills, CA $34.97 $14.84 – $121.47 32,422 13
Green Bay, WI $29.83 $9.27 – $96.86 32,492 31
Humacao, PR $78.29 $65.72 – $102.31 32,528 5
Fall River, MA $38.50 $27.22 – $83.05 32,793 16
Memphis, TN $39.07 $0.00 – $65.31 32,891 39
Owings Mills, MD $56.79 $24.72 – $104.87 32,914 11
Canton, OH $21.35 $0.62 – $32.16 32,969 20
Charlottesville, VA $30.93 $7.46 – $79.57 32,985 38
Hackensack, NJ $53.20 $11.94 – $87.73 33,106 16
Ann Arbor, MI $34.41 $15.57 – $207.32 33,590 9
Lynnwood, WA $38.51 $21.69 – $104.03 34,191 39
Vancouver, WA $33.73 $13.93 – $139.69 34,334 16
Dallas, TX $62.78 $7.09 – $121.54 34,370 53
Portland, ME $31.87 $0.00 – $57.81 35,372 30
Eugene, OR $38.00 $33.20 – $102.14 35,468 9
Brockton, MA $41.97 $5.77 – $85.24 35,479 18
Toledo, OH $28.51 $9.35 – $105.06 35,695 31
Austin, TX $52.74 $4.04 – $222.04 35,886 11
Ypsilanti, MI $28.65 $22.18 – $100.26 35,965 4
Lawrence, MA $17.91 $5.19 – $30.93 36,009 12
Dayton, OH $18.11 $6.32 – $65.95 36,056 22

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.