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Diagnostic Mammogram, One Breast

Michigan 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?

$148

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $148 for this service. Most negotiated rates run $123 to $234.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $148 · 10th to 90th $87 to $562
$50$100$200$500professional $148

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
$45.71
Median
$45.71
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$144.54
Typical High
$630.96
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$45.71
Typical High
$107.15
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$75.86
Median
$97.72
Typical High
$257.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$95.50
Typical High
$194.98
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$40.74
Typical High
$61.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$190.55
Typical High
$204.17
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$120.23
Median
$141.25
Typical High
$141.25
CareSource
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$104.71
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$165.96
Typical High
$288.40
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$50.12
Typical High
$95.50
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$74.13
Median
$117.49
Typical High
$234.42
Health Alliance Plan
Setting
Facility
Modifier
26 · Professional part
Typical Low
$45.71
Median
$45.71
Typical High
$79.43
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$141.25
Typical High
$251.19
Health Alliance Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$44.67
Typical High
$75.86
Health Alliance Plan
Setting
Professional
Modifier
TC · Technical part
Typical Low
$72.44
Median
$97.72
Typical High
$177.83
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$162.18
Typical High
$229.09
Priority Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$47.86
Typical High
$67.61
Priority Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$89.13
Median
$102.33
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$147.91
Typical High
$302.00
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$63.10
Typical High
$229.09
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$85.11
Median
$104.71
Typical High
$275.42

Where Michigan 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.

Michigan· 17th of 51

$148

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.