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Screening Mammogram, Both Breasts

South Dakota rates for HCPCS 77057

A mammogram, a low-dose X-ray of breast tissue, taken of both breasts in a woman with no breast symptoms, to look for cancer before it can be felt. It is the routine check done at intervals rather than a study prompted by a problem.

Rates data updated October 2026.

How much rates vary

Facilitymedian $107 · 10th to 90th $107 to $129Professionalmedian $182 · 10th to 90th $117 to $229
$100$200facility $107professional $182

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
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$117.49
Median
$181.97
Typical High
$229.09
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$50.12
Median
$77.62
Typical High
$97.72
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$67.61
Median
$104.71
Typical High
$131.83
Medica
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$128.82
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$363.08
Median
$363.08
Typical High
$363.08