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Diagnostic Mammogram, One Breast

Illinois rates for HCPCS 77065

A breast X-ray exam of a single breast performed to investigate a specific concern, such as a lump, pain, or a finding from a prior screening mammogram. It typically involves more detailed imaging and closer review than a routine screening exam. It's ordered when there's already a specific reason to look closely at one breast rather than as general preventive screening.

Rates data updated July 2026.

How much does Diagnostic Mammogram, One Breast cost?

$141

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $141 for this service. Most negotiated rates run $87.10 to $224.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $141 · 10th to 90th $50 to $398
$50$100$200$500professional $141

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$33.88
Median
$40.74
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$134.90
Typical High
$489.78
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$54.95
Typical High
$147.91
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$72.44
Median
$89.13
Typical High
$199.53
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$95.50
Typical High
$141.25
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$39.81
Typical High
$72.44
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$64.57
Median
$85.11
Typical High
$97.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$134.90
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$169.82
Typical High
$245.47
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$52.48
Typical High
$77.62
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$77.62
Median
$120.23
Typical High
$177.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$331.13
Typical High
$724.44
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$112.20
Typical High
$251.19
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$100.00
Median
$147.91
Typical High
$562.34
Hally Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$151.36
Typical High
$165.96
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$46.77
Median
$47.86
Typical High
$50.12
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$104.71
Typical High
$114.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$186.21
Typical High
$323.59
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$69.18
Typical High
$141.25
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$93.33
Median
$138.04
Typical High
$251.19

Where Illinois sits

The same service costs 3.8 times more in Alaska than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 24th of 51

$141

AK $316WV $83.18

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.