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Diagnostic Mammogram, One Breast

Ohio 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 rates vary

Facilitymedian $135 · 10th to 90th $135 to $135Professionalmedian $89 · 10th to 90th $60 to $151
$100facility $135professional $89

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

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$89.13
Typical High
$151.36