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Diagnostic Mammogram, One Breast

Minnesota 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 October 2026.

How much does Diagnostic Mammogram, One Breast cost?

$214

Typical negotiated rate. In Minnesota, October 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $288 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$200$129 to $363
FacilityA hospital or hospital-owned outpatient department$288$234 to $363

How much rates vary

Facilitymedian $288 · 10th to 90th $186 to $708Professionalmedian $200 · 10th to 90th $129 to $398
$200$500facility $288professional $200

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$302.00
Typical High
$851.14
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$77.62
Median
$117.49
Typical High
$331.13
Cigna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$120.23
Median
$181.97
Typical High
$524.81
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$128.82
Median
$162.18
Typical High
$275.42
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$50.12
Median
$63.10
Typical High
$107.15
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$79.43
Median
$100.00
Typical High
$169.82
Health Partners
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$281.84
Typical High
$676.08
Health Partners
Setting
Facility
Modifier
26 · Professional part
Typical Low
$69.18
Median
$109.65
Typical High
$257.04
Health Partners
Setting
Facility
Modifier
TC · Technical part
Typical Low
$109.65
Median
$173.78
Typical High
$407.38
Health Partners
Setting
Professional
Modifier
None (both parts)
Typical Low
$128.82
Median
$128.82
Typical High
$251.19
Health Partners
Setting
Professional
Modifier
26 · Professional part
Typical Low
$50.12
Median
$50.12
Typical High
$95.50
Health Partners
Setting
Professional
Modifier
TC · Technical part
Typical Low
$79.43
Median
$79.43
Typical High
$151.36
Medica
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$208.93
Median
$208.93
Typical High
$208.93

Where Minnesota sits

The same service costs 13.2 times more in Arizona than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Minnesota· 15th of 32

$214

AZ $398SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.