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Diagnostic Mammogram, One Breast

South Carolina 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 $89 · 10th to 90th $89 to $100Professionalmedian $30 · 10th to 90th $30 to $30
$50$100facility $89professional $30

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
Medcost
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Medcost
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20