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Diagnostic Mammogram, One Breast

Vermont 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?

$135

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $135 for this service. Most negotiated rates run $126 to $145.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $135 · 10th to 90th $68 to $186
$100$200professional $135

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
Professional
Modifier
Global
Typical Low
$67.61
Median
$134.90
Typical High
$181.97
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$39.81
Typical High
$53.70
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$74.13
Median
$89.13
Typical High
$104.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$537.03
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$48.98
Median
$48.98
Typical High
$162.18
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$114.82
Median
$114.82
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$186.21
Typical High
$398.11
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$46.77
Median
$54.95
Typical High
$117.49
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$109.65
Median
$131.83
Typical High
$281.84
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$316.23
Typical High
$331.13
MVP Health Care
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
MVP Health Care
Setting
Professional
Modifier
TC · Technical part
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$162.18
Typical High
$346.74
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$54.95
Typical High
$100.00
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$91.20
Median
$117.49
Typical High
$251.19

Where Vermont 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.

Vermont· 33rd of 51

$135

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.