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Diagnostic Mammogram, One Breast

Missouri 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 $120 · 10th to 90th $91 to $302Professionalmedian $398 · 10th to 90th $162 to $398
$50.0$100.0$200.0facility $120professional $398

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$229.09
Typical High
$275.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$120.23
Typical High
$302.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11