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Diagnostic Mammogram, One Breast

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $138 for this service. Most negotiated rates run $117 to $191.

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 $87 to $398
$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
$51.29
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$138.04
Typical High
$426.58
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$39.81
Typical High
$54.95
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$72.44
Median
$91.20
Typical High
$141.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$109.65
Typical High
$120.23
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$37.15
Typical High
$74.13
AmeriHealth
Setting
Professional
Modifier
26 · Professional part
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$169.82
Typical High
$275.42
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$48.98
Typical High
$81.28
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$70.79
Median
$120.23
Typical High
$204.17
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$173.78
Typical High
$208.93
Emblem Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$51.29
Typical High
$61.66
Emblem Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$100.00
Median
$125.89
Typical High
$147.91
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$128.82
Typical High
$269.15
Horizon BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$37.15
Typical High
$77.62
Horizon BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$77.62
Median
$91.20
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$154.88
Typical High
$263.03
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$47.86
Typical High
$79.43
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$69.18
Median
$112.20
Typical High
$190.55

Where New Jersey 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 Jersey· 30th 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.