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Screening Mammogram, Both Breasts

Wisconsin 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.

Facilitymedian $234 · 10th–90th $87$3390%10%10th90th$234Professionalmedian $148 · 10th–90th $120$3630%20%10th90th$148$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
$208.93
Median
$245.47
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$147.91
Typical High
$147.91
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$95.50
Typical High
$177.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$138.04
Typical High
$295.12
Medica
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Quartz
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$295.12
Typical High
$295.12
Quartz
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$363.08
Typical High
$363.08