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Mammogram Cost by State and Facility Type (2026)

Typical cost

$73–$580

Sticker price is almost never what patients actually pay.

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

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

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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.

Your personalized cost report includes:

  • ✓ 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.

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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.

CostKits Data — Mammogram

$70–$130
National typical range
Median across all 50 states
8×
National price spread
Cheapest vs. most expensive market
4,513
Facilities in our database
90% have observed negotiated rates
High
Shopping potential
Facility type is the biggest cost lever
50
States with cost data
Updated 2026

Facility Choice Is the Biggest Cost Driver

Setting Typical Allowed Amount
Hospital outpatient dept. $100–$150
Independent Imaging Center $50–$100

Same procedure, same clinical outcome — 40–55% lower allowed amount. Ask your physician if the procedure can be performed at an imaging center.

CostKits Market Intelligence — Mammogram

Confidence: High
Sources Used
  • CMS Medicare fee schedules (MPFS, OPPS, ASC)
  • Hospital price transparency files
  • Commercial rate relativity model
Estimate Composition
Observed negotiated rates
90%
Medicare baseline
5%
Estimated relativity
5%
300 geographic markets analyzed
4,513 facilities in dataset
50 states + 250 metros

What's Actually on a Mammogram Bill?

A single mammogram can generate multiple separate bills. Each provider bills independently and they often arrive weeks apart. Here's what to expect at a Hospital Outpatient:

Billing Component Always? Typical Amount Separate Bill? Notes
Technical / Facility Fee Always — Often
Radiologist Fee Always — Usually
Cad Computer Aided Detection Sometimes — Sometimes 3D tomosynthesis (CPT 77063/77067) may add a separate add-on charge over 2D screening.

Mammogram Cost-Saving Decision Guide

Three moves that reduce your actual out-of-pocket cost — not just awareness, but specific decisions you can make before scheduling:

Choose the right facility
If: Procedure is non-urgent + a hospital outpatient department is where you're scheduled
Typical savings: $25–$50 — Moving from a hospital outpatient department to independent imaging center is typically the single biggest lever — identical care, lower overhead
Ask for the cash-pay rate
If: Uninsured or paying out-of-pocket + facility has a cash-discount program
Typical savings: 20–30% — Most facilities offer 20–30% off the standard negotiated rate for upfront cash payment — always ask the billing department before scheduling

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

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.

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.

Explore Mammogram Costs

How Insurance Affects the Cost of This Procedure

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

Mammogram by Type & Body Part

Costs vary significantly by which mammogram variant you need. Select a type to see state-by-state pricing and billing details:

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.

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About the Author

John Caruso, FSA, MAAA

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

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Published June 6, 2026 · Updated June 6, 2026

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