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