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

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.