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Diagnostic Mammogram, One Breast

Oregon 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 $186 · 10th to 90th $155 to $234Professionalmedian $182 · 10th to 90th $182 to $182
$200facility $186professional $182

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
Moda Health
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$186.21
Typical High
$234.42
Moda Health
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Providence
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$186.21
Typical High
$234.42
Providence
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97