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Diagnostic Mammogram, One Breast

North Dakota 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 $158 · 10th to 90th $115 to $191Professionalmedian $162 · 10th to 90th $129 to $398
$200.0facility $158professional $162

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
$128.82
Median
$162.18
Typical High
$223.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$158.49
Typical High
$190.55
Medica
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11