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Diagnostic Mammogram, One Breast

Kentucky 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?

$135

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $135 for this service. Most negotiated rates run $105 to $347.

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 $135 · 10th to 90th $83 to $631
$50$100$200$500professional $135

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
$37.15
Median
$37.15
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$138.04
Typical High
$724.44
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$39.81
Typical High
$77.62
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$74.13
Median
$91.20
Typical High
$257.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$117.49
Typical High
$169.82
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$40.74
Typical High
$50.12
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$69.18
Median
$81.28
Typical High
$85.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$141.25
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$33.11
Typical High
$46.77
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$67.61
Median
$67.61
Typical High
$100.00
CareSource
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$81.28
Typical High
$147.91
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$9.55
Median
$44.67
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$190.55
Typical High
$602.56
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$63.10
Typical High
$181.97
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$83.18
Median
$134.90
Typical High
$416.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$151.36
Typical High
$218.78
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$45.71
Typical High
$79.43
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$79.43
Median
$102.33
Typical High
$162.18

Where Kentucky 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.

Kentucky· 34th of 51

$135

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.