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Diagnostic Mammogram, One Breast

Alaska rates for HCPCS 77055

A mammogram, a low-dose X-ray of breast tissue, of one breast, done to look into a specific problem on that side such as a lump, pain, or an abnormal earlier result. Images are aimed at the area of concern.

Rates data updated July 2026.

How much rates vary

Facilitymedian $115 · 10th to 90th $54 to $170
$100.0$200.0facility $115

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$114.82
Typical High
$169.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$114.82
Typical High
$169.82