go back

Diagnostic Mammogram, Both Breasts

Wisconsin 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 July 2026.

Facilitymedian $295 · 10th–90th $110$4470%10%10th90th$295Professionalmedian $209 · 10th–90th $170$5130%20%10th90th$209$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$338.84
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$208.93
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$134.90
Typical High
$295.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$134.90
Typical High
$295.12
Medica
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$134.90
Typical High
$295.12
Quartz
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$389.05
Typical High
$389.05
Quartz
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$512.86
Typical High
$512.86