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Diagnostic Mammogram, One Breast

Missouri 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?

$138

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $138 for this service. Most negotiated rates run $105 to $275.

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 $138 · 10th to 90th $60 to $692
$50$100$200$500professional $138

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
$44.67
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$138.04
Typical High
$707.95
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$51.29
Typical High
$100.00
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$70.79
Median
$91.20
Typical High
$537.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$97.72
Typical High
$194.98
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$43.65
Typical High
$100.00
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$74.13
Median
$79.43
Typical High
$93.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$131.83
Typical High
$229.09
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$46.77
Typical High
$72.44
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$67.61
Median
$91.20
Typical High
$154.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$144.54
Typical High
$186.21
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$45.71
Typical High
$54.95
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$85.11
Median
$100.00
Typical High
$128.82
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
$104.71
Median
$165.96
Typical High
$281.84
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$52.48
Typical High
$95.50
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$74.13
Median
$114.82
Typical High
$218.78
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$91.20
Median
$173.78
Typical High
$173.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$165.96
Typical High
$812.83
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$51.29
Typical High
$239.88
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$81.28
Median
$117.49
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$158.49
Typical High
$269.15
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$51.29
Typical High
$104.71
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$81.28
Median
$112.20
Typical High
$208.93

Where Missouri 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.

Missouri· 26th of 51

$138

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.