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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 July 2026.

How much does Diagnostic Mammogram, One Breast cost?

$135

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $135 for this service. Most negotiated rates run $91.20 to $251.

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 $135 · 10th to 90th $91 to $275
$100.0$200.0professional $135

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
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$91.20
Typical High
$102.33

Where Pennsylvania sits

The same service costs 7.6 times more in Massachusetts than in Florida. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $135 · 25th of 36
MA $398FL $52.48

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.