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Diagnostic Mammogram, One Breast

New Hampshire 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?

$191

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $191 for this service. Most negotiated rates run $138 to $257.

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 $191 · 10th to 90th $107 to $324
$100$200$500professional $191

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
$39.81
Median
$39.81
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$138.04
Typical High
$323.59
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$39.81
Typical High
$97.72
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$74.13
Median
$97.72
Typical High
$229.09
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$128.82
Typical High
$302.00
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$43.65
Typical High
$125.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$194.98
Typical High
$281.84
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$58.88
Typical High
$85.11
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$87.10
Median
$134.90
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$204.17
Typical High
$363.08
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$63.10
Typical High
$107.15
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$100.00
Median
$154.88
Typical High
$263.03
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$213.80
Typical High
$331.13
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$67.61
Typical High
$100.00
Harvard Pilgrim
Setting
Professional
Modifier
TC · Technical part
Typical Low
$100.00
Median
$144.54
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$204.17
Typical High
$380.19
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$58.88
Typical High
$114.82
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$141.25
Typical High
$263.03
Well Sense
Setting
Facility
Modifier
26 · Professional part
Typical Low
$28.18
Median
$30.90
Typical High
$37.15

Where New Hampshire 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.

New Hampshire· 8th of 51

$191

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.