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Diagnostic Mammogram, One Breast

Pennsylvania 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?

$129

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $129 for this service. Most negotiated rates run $85.11 to $191.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

How much rates vary

Professionalmedian $129 · 10th to 90th $85 to $251
$100$200professional $129

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
Professional
Modifier
None
Typical Low
$251.19
Median
$251.19
Typical High
$275.42
Geisinger
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$102.33
Typical High
$190.55

Where Pennsylvania 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.

Pennsylvania· 25th of 32

$129

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.