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Diagnostic Mammogram, One Breast

Utah 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?

$195

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $195 for this service. Most negotiated rates run $120 to $550.

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 $195 · 10th to 90th $69 to $741
$50$100$200$500professional $195

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
$44.67
Median
$44.67
Typical High
$44.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$218.78
Typical High
$758.58
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$44.67
Typical High
$93.33
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$75.86
Median
$100.00
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$169.82
Typical High
$263.03
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$52.48
Typical High
$81.28
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$87.10
Median
$117.49
Typical High
$177.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$281.84
Regence BlueShield
Setting
Facility
Modifier
26 · Professional part
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$208.93
Typical High
$275.42
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$53.70
Median
$63.10
Typical High
$85.11
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$123.03
Median
$144.54
Typical High
$190.55
Select Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$173.78
Typical High
$199.53
Select Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$53.70
Typical High
$63.10
Select Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$128.82
Median
$144.54
Typical High
$151.36
Select Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$79.43
Median
$117.49
Typical High
$138.04
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$134.90
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$151.36
Typical High
$223.87
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$45.71
Typical High
$69.18
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$89.13
Median
$104.71
Typical High
$154.88

Where Utah 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.

Utah· 7th of 51

$195

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.