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Diagnostic Mammogram, One Breast

Wisconsin 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?

$162

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $229 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 6 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$162$145 to $224
FacilityA hospital or hospital-owned outpatient department$229$105 to $302

How much rates vary

Facilitymedian $229 · 10th to 90th $85 to $347Professionalmedian $162 · 10th to 90th $132 to $398
$100.0$200.0$500.0facility $229professional $162

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
Facility
Modifier
Global
Typical Low
$229.09
Median
$269.15
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$162.18
Typical High
$162.18
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$251.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$251.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$251.19
Quartz
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$302.00
Typical High
$302.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$398.11
Typical High
$398.11

Where Wisconsin 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.

Wisconsin $162 · 18th 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.