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

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.