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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
Stratford, NJ $123.47 $123.47 – $123.47 10,277 1
French Camp, CA $91.77 $41.89 – $110.37 10,261 4
Monterey, CA $134.63 $39.08 – $167.29 10,227 3
Rockville Centre, NY $30.38 $29.59 – $59.09 10,221 3
Sayre, PA $59.16 $13.84 – $100.81 10,201 9
Eureka, CA $92.69 $36.50 – $173.39 10,057 7
Torrington, CT $84.15 $21.18 – $110.57 10,032 4
Hopkinsville, KY $44.38 $17.55 – $72.49 9,986 4
Las Piedras, PR $56.07 $3.75 – $57.92 9,971 2
East Providence, RI $44.21 $35.92 – $54.59 9,900 3
Fayetteville, NC $42.14 $0.00 – $79.28 9,898 16
Anderson, SC $29.99 $26.37 – $31.82 9,884 5
Dover, DE $30.99 $0.00 – $103.92 9,875 14
Cumberland, MD $54.70 $21.50 – $92.46 9,873 12
Fishersville, VA $25.39 $24.80 – $30.00 9,867 5
Lancaster, PA $31.65 $30.10 – $34.45 9,760 16
Watsonville, CA $149.31 $142.00 – $173.80 9,753 2
Grand Junction, CO $25.07 $8.57 – $30.41 9,750 10
Kingsport, TN $30.04 $14.81 – $66.58 9,649 8
Framingham, MA $45.38 $20.46 – $55.38 9,643 10
Voorhees, NJ $71.61 $30.76 – $288.07 9,631 16
Lakeland, FL $38.63 $19.45 – $118.80 9,608 13
Old Bridge, NJ $54.30 $14.25 – $119.45 9,579 4
Orange Park, FL $36.87 $36.87 – $36.87 9,570 1
Danville, VA $68.90 $25.73 – $112.76 9,511 5
La Jolla, CA $57.56 $0.01 – $129.95 9,409 16
Hialeah, FL $60.27 $6.35 – $79.20 9,403 6
Fort Worth, TX $46.12 $0.00 – $112.63 9,399 22
San Leandro, CA $74.18 $14.50 – $119.33 9,393 5
Troy, NY $85.83 $25.84 – $95.43 9,382 3
Mission Viejo, CA $50.02 $0.00 – $117.58 9,363 7
Mobile, AL $34.30 $0.00 – $50.37 9,347 12
Mount Clemens, MI $35.69 $21.59 – $48.71 9,318 2
Daly City, CA $51.36 $3.87 – $62.13 9,312 6
Durham, NC $24.21 $0.00 – $80.85 9,277 36
Saint Joseph, MI $48.33 $48.33 – $48.33 9,229 1
Yuba City, CA $130.88 $0.00 – $214.18 9,217 10
Cooperstown, NY $58.74 $25.26 – $98.11 9,194 10
Murray, UT $39.75 $11.67 – $72.02 9,193 18
Beverly, MA $35.93 $0.31 – $43.65 9,078 10
Edmonds, WA $33.32 $33.32 – $33.32 9,069 1
Goodlettsville, TN $40.37 $5.11 – $105.97 9,023 15
Muncie, IN $60.23 $27.65 – $127.95 9,017 4
Duluth, MN $41.06 $22.97 – $130.81 8,998 16
Hershey, PA $68.00 $29.43 – $100.30 8,996 16
Newburgh, IN $43.61 $43.09 – $127.94 8,993 4
Bloomington, IN $56.11 $32.30 – $70.49 8,993 4
Lebanon, NH $30.66 $18.30 – $62.09 8,945 24
Menlo Park, CA $14.92 $6.90 – $24.43 8,919 3
Wayne, NJ $58.98 $14.60 – $67.34 8,914 6

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.