CostKits Take Control of Your Healthcare Spending
Home Tools Procedure Costs Learn App

Mammogram Cost (2026): Average Prices, Typical Range & What You'll Pay

Typical cost

$73–$580

Most people don't pay these prices.

Your actual cost depends on your deductible, coinsurance, and where you are in your plan.

👉 The same Mammogram could cost you $0 or $580.

Find out what YOU will pay ↓

Takes 10 seconds. Uses your insurance and deductible.

Where You Get a Mammogram Matters

Hospital outpatient departments typically charge 2–4× more than ASCs or independent centers for the same procedure — same outcome, very different bill.

Hospital Outpatient Department

Hospital Outpatient Department typically carries a higher price for a mammogram. Facility fee billed separately from professional fee. Provider-based billing adds facility overhead. You can shop here — call ahead and ask for a self-pay or cash quote.

Independent Imaging Center

Independent Imaging Center typically carries the lowest typical price for a mammogram. Freestanding radiology centers. Technical component billed by center; professional (radiologist read) billed separately. You can shop here — call ahead and ask for a self-pay or cash quote.

Emergency Room Mammogram

A Mammogram performed in the emergency department can run 2–5× the cost of the identical scan at an outpatient or independent facility, because a hospital facility fee stacks on top. Use the ER only when the situation is medically urgent — it is not a setting where you can shop on price.

A screening mammogram is $0 — until a callback or a symptom re-codes it as diagnostic and the bills start.

The free toolkit shows you:

  • ✓ When a "free" screening becomes a cost-shared diagnostic mammogram — and how to see it coming
  • ✓ The separate radiologist bill most patients miss (and how to verify it's in-network)
  • ✓ Why a hospital outpatient department can cost far more than a breast center for the identical study
  • ✓ When 3D tomosynthesis adds a separate charge — and the questions to ask before you schedule
  • ✓ A real patient billing breakdown, line by line

Free for patients — takes 30 seconds to get.

We'll email it to you immediately. No account required, no spam.

Mammogram Cost by Type

Which type your doctor orders changes the billing code — and what you pay. Here's how the common types differ.

Screening Mammogram (2D)

Billed as preventive care — often covered at $0 under the ACA when you are average-risk and in-network. Preventive; $0 cost-share on ACA-compliant plans (CPT 77067).

Screening Mammogram (3D / tomosynthesis)

Billed as preventive care — often covered at $0 under the ACA when you are average-risk and in-network. CPT 77063 add-on / 77067; some plans cover at $0, others apply the 3D add-on.

Diagnostic Mammogram

Ordered to investigate symptoms or a prior finding — standard cost-sharing (deductible, coinsurance) applies. Ordered to evaluate a symptom or follow up a screening finding (CPT 77065/77066). Cost-sharing applies.

What Will I Pay For My Mammogram?

The sticker price isn't what you pay. Your real cost depends on your deductible, coinsurance, and where you are in your plan year. Here's what a mammogram typically costs in three common situations:

Example: High-Deductible Plan

If you haven't met your deductible yet, you pay the full negotiated rate — for a mammogram, typically $70–$130 — because your plan applies the entire amount toward your deductible. The biggest lever here is facility choice: an independent imaging center usually costs a fraction of a hospital outpatient department for the identical service.

Example: Medicare Patient

Medicare's allowed amount for a mammogram sits near the low end of this range (about $70). After your Part B deductible, Medicare pays 80% and you owe the remaining 20% coinsurance — roughly $15. A Medicare Advantage plan may use a flat copay instead.

Example: Family Near the Out-of-Pocket Maximum

Once your family has reached its plan's out-of-pocket maximum, your share drops to $0 — the plan covers 100% of in-network care for the rest of the year. If you're close, timing a non-urgent mammogram for late in the plan year can mean it costs you nothing.

These are illustrations — your real number depends on your specific plan. Forecast yours below ↓

How CostKits Helps With Mammogram Costs

Most price websites stop at a national average. CostKits helps you estimate what you will actually pay for a mammogram:

  • Your deductible exposure — how much of the mammogram you'll owe before insurance starts paying
  • Your coinsurance — the percentage you keep paying after the deductible is met
  • Your likely out-of-pocket cost — a personalized estimate based on your plan, not a national average
  • Your future healthcare spending — so you can plan for the rest of the plan year, not just this one bill

That's the difference between knowing a mammogram "costs a few hundred to a few thousand dollars" and knowing what it costs you.

Forecast your out-of-pocket cost

Quick navigation: · Healthcare Cost Guides · How deductibles affect your cost · Mammogram costs by state →

Quick Answer: Mammogram Costs at a Glance

Average mammogram cost in the U.S.: $292–$580 (self-pay)

By type:

  • Screening mammogram (2D): $0 with insurance; ~$100–$250 self-pay
  • Screening mammogram (3D / tomosynthesis): often $0; modest add-on at some plans
  • Diagnostic mammogram: subject to deductible + coinsurance

👉 Compare mammogram prices by state: View all mammogram costs by state

Screening vs. Diagnostic: The Distinction That Decides Your Bill

This is the actuarial heart of mammogram billing, and it's where most surprises come from.

  • A screening mammogram is a routine, no-symptoms check. Under the Affordable Care Act, ACA-compliant plans must cover it at $0 cost-sharing for average-risk women age 40+ — no deductible, no copay. It's billed under preventive codes (CPT 77067 for 2D, with 77063 for the 3D add-on).
  • A diagnostic mammogram is ordered to evaluate something — a lump, pain, nipple discharge, or an abnormal screening result that needs more views. It's billed under diagnostic codes (CPT 77065 unilateral, 77066 bilateral) and is treated like any other diagnostic service: your deductible and coinsurance apply.

Here's the part that catches people: the same visit, same machine can switch categories. If a radiologist sees something on your screening images and takes additional views, the encounter can be re-coded from screening to diagnostic — and a $0 visit becomes a deductible expense. This is the mammogram version of the screening colonoscopy → polyp-removal conversion.

What to do: before your appointment, ask the scheduler whether the order is coded as screening or diagnostic, and ask what happens to the coding if additional images are needed. If you're called back after a screening for "additional views," confirm whether that follow-up is being billed as diagnostic — and budget accordingly.

Mammogram pricing splits across three payer categories, each with its own baseline.

Medicare Rates (Lowest)

Medicare allows roughly $73–$96 for a mammogram, with small geographic variation driven by the wage index. Medicare covers an annual screening mammogram for women 40+ at no cost to the patient.

Commercial Insurance (Middle)

Negotiated commercial rates typically run $160–$384. For a screening mammogram, an ACA-compliant plan absorbs this entirely — you pay $0. For a diagnostic mammogram, this negotiated rate is what flows through your deductible and coinsurance.

Uninsured / Cash Pay (Highest)

Self-pay chargemaster prices run $292–$580 nationally, and many imaging centers offer cash rates at the lower end of that band. Independent imaging and dedicated breast centers are frequently cheaper than hospital outpatient departments for the same study.

Where You Get It Matters: Hospital vs. Imaging Center

A mammogram has two cost components — a technical fee (the facility and equipment) and a professional fee (the radiologist's interpretation). Hospital outpatient departments carry higher overhead and often add a facility fee, so the same study can cost meaningfully more there than at a dedicated breast-imaging or independent imaging center. For a routine screening on an ACA plan this is invisible (you pay $0 either way), but for a diagnostic mammogram applied to your deductible, choosing a lower-cost setting directly lowers what you owe.

Why Mammogram Prices Vary by State

The same screening varies across states for structural reasons, not randomness:

  • Wage index: Medicare adjusts the technical fee by local labor costs, and commercial rates track that geography.
  • Facility mix: states with more independent imaging and breast centers see lower cash prices than hospital-dominated markets.
  • Market competition: metro areas with many providers compete on self-pay rates; rural areas with one hospital do not.

Compare your state's mammogram prices →

How to Lower Your Mammogram Cost

  1. Confirm it's coded as screening. For routine, no-symptom mammograms on an ACA plan, this is the difference between $0 and a deductible bill.
  2. Ask about the 3D add-on. Many plans now cover 3D tomosynthesis screening at $0; if yours doesn't, ask the cost of the add-on before agreeing to it.
  3. For a diagnostic study, shop the setting. An independent imaging or breast center is often cheaper than a hospital outpatient department for the same study applied to your deductible.
  4. If uninsured, ask for the cash/self-pay rate. It's frequently well below the chargemaster figure, and many centers run low-cost screening programs.
  5. Check your deductible status. A diagnostic mammogram late in the plan year, after your deductible is met, can cost far less than the same study in January.

This Procedure Is Shoppable — Choosing the Right Facility Can Save Thousands

Mammogram is elective and schedulable. You have time to compare facilities — and hospital outpatient prices often run 2–4× higher than Hospital OP, Imaging Center for identical clinical outcomes.

How to shop: Ask your doctor for the CPT code, then call 2–3 facilities and request an out-of-pocket cost estimate. Confirm your insurance is accepted. If uninsured, ask for the cash-pay rate — it's usually 20–50% below the list price.

Who performs this: Mammogram is typically performed by a Radiology. The specialist's professional fee is billed separately from the facility charge — you will likely receive separate bills from each.

How Insurance Affects the Cost of This Procedure

Understanding these insurance concepts can help you estimate what you may actually pay for this procedure.

Cheapest States for Mammogram

The 10 lowest-cost states for mammogram, by typical facility price range. Use these as a benchmark — even within a low-cost state, an independent imaging center usually beats a hospital outpatient department.

  1. 1. Michigan $56–$87
  2. 2. Virginia $61–$86
  3. 3. Hawaii $70–$81
  4. 4. Utah $70–$81
  5. 5. Colorado $59–$97
  6. 6. Oregon $70–$86
  7. 7. South Dakota $75–$87
  8. 8. Tennessee $58–$104
  9. 9. Georgia $58–$105
  10. 10. New Hampshire $70–$93

Most Expensive States for Mammogram

The 10 highest-cost states for mammogram. If you're in one of these, shopping facilities and asking for the cash-pay rate matters most.

  1. 1. Connecticut $74–$407
  2. 2. Delaware $102–$312
  3. 3. Vermont $64–$330
  4. 4. New Mexico $106–$265
  5. 5. Maryland $88–$250
  6. 6. South Carolina $67–$265
  7. 7. Alaska $98–$203
  8. 8. California $92–$187
  9. 9. Pennsylvania $77–$187
  10. 10. Iowa $73–$184

Mammogram Cost by State

Common Mammogram Billing Surprises

The sticker price is rarely the whole story. These are the charges that most often surprise people after a mammogram — knowing them in advance is how you catch errors and avoid out-of-network bills.

You May Receive Two Bills

Most mammogram episodes produce a facility charge and a separate professional (radiologist) charge. Even when the facility is in-network, the radiologist can be out-of-network.

The Radiologist Bills Separately

The radiologist bills independently from the facility and may arrive later as its own statement.

Facility Fees

Hospital facility fees are typically far higher than ambulatory or independent settings for the identical service.

Out-of-Network Radiologist

Confirm the radiologist — not just the facility — is in your network before the procedure.

Frequently Asked Questions

See the questions below — answered for screening vs. diagnostic, 3D pricing, Medicare coverage, and what to do when a "free" screening produces a bill.

A screening mammogram is $0 — until a callback or a symptom re-codes it as diagnostic and the bills start.

The free toolkit shows you:

  • ✓ When a "free" screening becomes a cost-shared diagnostic mammogram — and how to see it coming
  • ✓ The separate radiologist bill most patients miss (and how to verify it's in-network)
  • ✓ Why a hospital outpatient department can cost far more than a breast center for the identical study
  • ✓ When 3D tomosynthesis adds a separate charge — and the questions to ask before you schedule
  • ✓ A real patient billing breakdown, line by line

Free for patients — takes 30 seconds to get.

We'll email it to you immediately. No account required, no spam.

What will you pay for Mammogram?

Get my estimate

Interested in understanding healthcare costs and managing your medical expenses?

About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

Connect on LinkedIn →

Ready to take control of your healthcare costs?

Use the free cost estimator →  ·  Analyze a medical bill →

Published June 6, 2026 · Updated June 6, 2026

Track Your Healthcare Costs

Create a free account to save procedures and compare prices.

Get My Free Account