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Diagnostic Mammogram, One Breast

Texas 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?

$148

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $123 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$380$380 to $398
FacilityA hospital or hospital-owned outpatient department$123$95.50 to $182

How much rates vary

Facilitymedian $123 · 10th to 90th $69 to $302Professionalmedian $380 · 10th to 90th $380 to $398
$50$100$200facility $123professional $380

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$275.42
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$398.11
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$114.82
Typical High
$190.55
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Providence
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$114.82
Typical High
$190.55
Providence
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10

Where Texas sits

The same service costs 7.6 times more in Massachusetts than in Florida. 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.

Texas· 22nd of 36

$148

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.