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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
New City, NY $111.11 $76.09 – $124.17 17,266 8
Beckley, WV $37.95 $6.80 – $57.68 17,249 10
Iowa City, IA $54.95 $13.52 – $100.05 17,133 22
Little Rock, AR $32.19 $9.54 – $148.66 17,081 44
Stockton, CA $69.77 $0.01 – $124.55 17,054 9
Charleston, WV $42.84 $15.09 – $86.23 17,003 23
Glendale, AZ $88.20 $0.00 – $98.56 16,803 9
Porterville, CA $31.44 $0.00 – $146.73 16,784 5
Albany, NY $61.38 $13.14 – $95.66 16,741 28
La Mesa, CA $100.66 $74.21 – $107.02 16,694 7
Jacksonville, FL $17.40 $1.24 – $80.44 16,627 50
Boca Raton, FL $93.67 $27.06 – $108.90 16,605 9
Portsmouth, VA $41.82 $27.21 – $147.19 16,508 5
Orlando, FL $39.82 $0.00 – $93.44 16,462 29
Fairmont, WV $28.40 $23.06 – $210.06 16,414 14
Monroe, LA $36.25 $18.71 – $79.55 16,338 16
Anchorage, AK $95.98 $7.03 – $415.85 16,324 19
Lewiston, ME $36.69 $9.01 – $52.26 16,309 8
Boise, ID $27.85 $20.15 – $50.46 16,279 16
Winnsboro, LA $29.09 $29.02 – $96.35 16,227 2
New London, CT $92.26 $20.00 – $111.21 16,198 7
Blue Ash, OH $19.70 $11.16 – $24.64 16,170 14
Santa Ana, CA $44.23 $0.00 – $150.00 16,099 11
Lynchburg, VA $32.71 $12.12 – $93.72 16,089 17
Waterbury, CT $100.24 $35.65 – $109.75 15,969 19
Wayne, MI $50.56 $50.56 – $50.56 15,824 1
Fort Myers, FL $37.49 $6.99 – $102.09 15,742 34
Park Ridge, IL $29.92 $22.14 – $109.35 15,721 11
San German, PR $44.20 $20.55 – $101.87 15,689 4
Midland, MI $31.66 $22.94 – $49.43 15,667 3
Marrero, LA $31.45 $28.27 – $58.80 15,591 14
Paducah, KY $57.60 $19.68 – $72.61 15,577 15
Binghamton, NY $63.84 $30.19 – $95.72 15,287 5
Rochester, MN $42.04 $1.29 – $107.24 15,283 37
Norwich, CT $98.68 $24.10 – $107.75 15,261 3
Rockford, IL $38.99 $6.28 – $114.29 15,235 22
Chevy Chase, MD $100.24 $100.24 – $100.24 15,185 1
Kansas City, MO $40.10 $13.40 – $130.85 15,087 21
New Bedford, MA $40.05 $1.11 – $44.26 15,040 5
Kettering, OH $17.48 $14.76 – $23.50 15,028 7
Woodland Hills, CA $52.86 $0.00 – $130.37 15,020 8
Covington, LA $25.39 $21.90 – $78.52 14,986 16
Evanston, IL $25.59 $19.91 – $82.97 14,905 22
Clive, IA $66.59 $0.00 – $95.04 14,840 12
Fajardo, PR $106.60 $0.87 – $130.24 14,822 3
La Crosse, WI $30.55 $15.73 – $60.90 14,771 17
Harbor City, CA $68.08 $0.00 – $126.25 14,729 11
Minneapolis, MN $70.62 $0.00 – $93.22 14,618 16
New Iberia, LA $26.46 $20.65 – $32.73 14,597 10
Novi, MI $47.72 $47.48 – $79.69 14,579 4

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.