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Diagnostic Mammogram, One Breast

Virginia 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?

$123

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $123 for this service. Most negotiated rates run $107 to $151.

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

Facilitymedian $120 · 10th to 90th $81 to $178Professionalmedian $151 · 10th to 90th $120 to $162
$50.0$100.0$200.0facility $120professional $151

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
$134.90
Typical High
$162.18
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$151.36
Typical High
$151.36
Medcost
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$120.23
Typical High
$177.83

Where Virginia 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.

Virginia $123 · 31st 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.