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
Van Nuys, CA	$72.13	$0.00 – $308.00	57,342	16
Downey, CA	$53.80	$0.00 – $127.97	56,219	18
Williamsville, NY	$74.86	$17.90 – $104.67	56,016	34
San Mateo, CA	$42.69	$6.38 – $86.42	55,381	9
Northridge, CA	$60.54	$0.00 – $67.43	54,437	6
Stanford, CA	$48.70	$0.00 – $152.50	54,344	57
Norfolk, VA	$32.81	$14.01 – $115.34	54,183	23
Englewood, NJ	$66.16	$14.52 – $90.26	54,076	11
Shreveport, LA	$32.84	$8.73 – $85.00	53,515	38
Saint Louis, MO	$44.19	$0.00 – $144.07	53,036	83
Springfield, MA	$31.20	$0.77 – $44.23	52,419	18
Anaheim, CA	$43.45	$0.00 – $136.96	52,362	22
San Jose, CA	$12.96	$0.00 – $42.86	51,558	43
Orange, CA	$71.66	$2.73 – $122.41	51,139	37
Pittsburgh, PA	$41.68	$0.00 – $129.11	50,832	70
Knoxville, TN	$19.89	$5.85 – $74.02	50,152	65
Azusa, CA	$53.40	$0.00 – $53.41	49,831	2
Newark, NJ	$71.89	$11.01 – $96.88	49,545	8
Westminster, CA	$27.81	$0.00 – $102.22	49,061	3
Paterson, NJ	$64.03	$22.33 – $84.58	47,981	9
Nashville, TN	$37.19	$1.00 – $120.34	47,124	81
Tacoma, WA	$64.65	$14.36 – $136.83	46,775	32
Staten Island, NY	$90.26	$1.60 – $145.13	46,481	19
Cape Girardeau, MO	$22.66	$3.25 – $87.54	46,253	25
Riverside, CA	$60.67	$0.00 – $159.63	45,798	14
Denver, CO	$53.61	$6.94 – $107.77	45,705	24
Scottsdale, AZ	$72.11	$2.70 – $295.68	45,040	30
Akron, OH	$20.13	$0.66 – $39.58	44,410	24
Colton, CA	$61.76	$0.00 – $88.28	44,364	12
Santa Monica, CA	$53.61	$0.00 – $128.57	42,896	19
Edina, MN	$37.41	$0.00 – $566.00	42,468	55
Newport News, VA	$30.59	$11.96 – $62.03	42,355	20
Glendale, CA	$35.53	$0.00 – $102.25	42,327	17
Ashland, KY	$51.50	$20.71 – $95.01	41,218	12
San Gabriel, CA	$56.88	$0.00 – $83.51	41,007	4
Yuma, AZ	$95.41	$0.00 – $97.04	40,706	3
Fresno, CA	$8.74	$0.00 – $142.28	40,415	29
Garden City, NY	$89.82	$25.44 – $138.17	39,669	20
Stamford, CT	$78.09	$20.53 – $100.42	39,481	8
Spokane, WA	$79.65	$21.43 – $102.65	39,430	25
Hato Rey, PR	$74.64	$11.15 – $104.96	39,081	9
Clovis, CA	$5.89	$1.87 – $7.61	39,050	6
Houston, TX	$34.80	$0.00 – $98.19	38,879	81
Middletown, NY	$92.93	$28.94 – $151.87	38,843	25
Bridgeport, CT	$94.43	$20.63 – $110.05	38,459	12
Salinas, CA	$117.60	$7.56 – $170.69	38,054	9
Fort Wayne, IN	$34.66	$13.02 – $100.34	37,122	33
Farmington, CT	$59.75	$18.15 – $92.13	36,728	10
Flint, MI	$60.06	$21.16 – $74.11	36,698	5
Tampa, FL	$45.08	$10.64 – $370.59	36,139	46

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.