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Diagnostic Mammogram, One Breast

Virginia 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?

$120

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $120 for this service. Most negotiated rates run $105 to $166.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $120 · 10th to 90th $58 to $219
$50$100$200professional $120

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
$33.88
Median
$45.71
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$120.23
Typical High
$190.55
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$48.98
Typical High
$69.18
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$74.13
Median
$87.10
Typical High
$134.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$158.49
Typical High
$234.42
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$47.86
Typical High
$70.79
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$81.28
Median
$109.65
Typical High
$162.18
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$141.25
Typical High
$295.12
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$38.02
Typical High
$50.12
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$91.20
Median
$91.20
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$158.49
Typical High
$269.15
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$46.77
Typical High
$81.28
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$70.79
Median
$112.20
Typical High
$190.55
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$144.54
Typical High
$181.97
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$41.69
Typical High
$52.48
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$85.11
Median
$102.33
Typical High
$125.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Medcost
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$316.23
Sentara
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$141.25
Typical High
$398.11
Sentara
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$50.12
Typical High
$87.10
Sentara
Setting
Professional
Modifier
TC · Technical part
Typical Low
$91.20
Median
$114.82
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$162.18
Typical High
$269.15
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$48.98
Typical High
$87.10
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$74.13
Median
$114.82
Typical High
$199.53

Where Virginia 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.

Virginia· 47th of 51

$120

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.