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Diagnostic Mammogram, One Breast

North Carolina 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?

$145

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $145 for this service. Most negotiated rates run $110 to $355.

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 $145 · 10th to 90th $83 to $562
$50$100$200$500professional $145

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
$34.67
Median
$36.31
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$141.25
Typical High
$562.34
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$39.81
Typical High
$109.65
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$75.86
Median
$93.33
Typical High
$537.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$125.89
Typical High
$309.03
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$60.26
Typical High
$97.72
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$112.20
Median
$120.23
Typical High
$162.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$223.87
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$61.66
Median
$91.20
Typical High
$112.20
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$141.25
Median
$169.82
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$190.55
Typical High
$331.13
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$57.54
Typical High
$102.33
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$77.62
Median
$131.83
Typical High
$229.09
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$89.13
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$162.18
Typical High
$302.00
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$56.23
Typical High
$102.33
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$83.18
Median
$114.82
Typical High
$218.78
Wellcare
Setting
Facility
Modifier
26 · Professional part
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,047.13
Wellcare
Setting
Professional
Modifier
26 · Professional part
Typical Low
$239.88
Median
$239.88
Typical High
$309.03
Wellcare
Setting
Professional
Modifier
TC · Technical part
Typical Low
$562.34
Median
$562.34
Typical High
$741.31

Where North Carolina 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.

North Carolina· 21st of 51

$145

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.