How Much Does Mammogram (Diagnostic, Both Breasts) Cost?
Also known as: Dx mammo incl cad bi (CPT 77066)
A detailed breast X-ray to evaluate a specific concern like a lump or abnormal screening result.
Mammogram (Diagnostic, Both Breasts) (CPT 77066) costs $157 at Medicare rates.
Patient Guide: Mammogram (Diagnostic, Both Breasts)
What you need to know before your appointment
What to Expect
Similar to a screening mammogram but with additional images and closer attention to the area of concern. A radiologist may review images while you wait.
How Long Does It Take?
30-45 minutes
Common Reasons Doctors Order This
Breast lump, abnormal screening mammogram, breast pain, nipple discharge, follow-up after biopsy
How to Prepare
Same preparation as screening mammogram. Bring prior mammogram images if done at a different facility.
Procedures Commonly Done Together
These procedures are frequently performed alongside Dx mammo incl cad bi
How to Reduce Your Cost for Dx mammo incl cad bi
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (4.70) x CF ($33.40) = $157
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Dx mammo incl cad bi cost?
The Medicare facility rate for Dx mammo incl cad bi is $157. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Dx mammo incl cad bi cost without insurance?
Without insurance, the cost of Dx mammo incl cad bi can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover Dx mammo incl cad bi?
Most commercial health insurance plans and Medicare cover Dx mammo incl cad bi when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.