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Diagnostic Mammogram, Both Breasts

Montana rates for HCPCS 77056

A mammogram, a low-dose X-ray of breast tissue, of both breasts, done to investigate a known problem such as a lump, pain, nipple discharge or an abnormal screening result. Extra or targeted images are taken as needed to answer the specific question.

Rates data updated October 2026.

How much rates vary

Facilitymedian $158 · 10th to 90th $158 to $162
facility $158

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
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$162.18