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Diagnostic Mammogram, One Breast

Rhode Island 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 Rhode Island, July 2026.

Insurers have agreed to pay about $138 for this service. Most negotiated rates run $129 to $229.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $138 · 10th to 90th $105 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
$245.47
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$138.04
Typical High
$724.44
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$38.90
Typical High
$107.15
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$77.62
Median
$93.33
Typical High
$169.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$181.97
Typical High
$281.84
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$54.95
Typical High
$83.18
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$89.13
Median
$128.82
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$295.12
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$56.23
Typical High
$85.11
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$87.10
Median
$134.90
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$151.36
Typical High
$218.78
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$46.77
Typical High
$58.88
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$93.33
Median
$109.65
Typical High
$144.54

Where Rhode Island 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.

Rhode Island· 31st 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.