go back

Diagnostic Mammogram, One Breast

West 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?

$83.18

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $83.18 for this service. Most negotiated rates run $81.28 to $120.

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 $83 · 10th to 90th $38 to $191
$50$100$200professional $83

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
$37.15
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$83.18
Typical High
$147.91
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$81.28
Typical High
$85.11
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$75.86
Median
$93.33
Typical High
$104.71
CareSource
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$104.71
Typical High
$177.83
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$9.55
Median
$44.67
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$177.83
Typical High
$602.56
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$54.95
Typical High
$181.97
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$67.61
Median
$123.03
Typical High
$416.87
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$204.17
Typical High
$213.80
Highmark BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$58.88
Median
$97.72
Typical High
$100.00
Highmark BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$154.88
Median
$154.88
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$158.49
Typical High
$263.03
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$50.12
Typical High
$83.18
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$69.18
Median
$112.20
Typical High
$190.55

Where West 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.

West Virginia· 51st of 51

$83.18

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.