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CostHelper.com > Health & Personal Care  > Mammogram

Mammogram Cost

How Much Does a Mammogram Cost?

low cost With Insurance coverage: No Charge or Copay
low cost Without Insurance: $80-$212

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A mammogram is a breast X-ray used for early detection of breast cancer. It is recommended yearly starting at age 40. A clinical breast examination, in which a doctor or nurse examines the breast for lumps or irregularities, is recommended once every three years starting at age 20, then once a year at age 40 and up.
 
Typical costs:
  • For an uninsured patient, typical full-price cost of a mammogram ranges from $80 to $120 or more, with an average of about $102, according to Blue Cross Blue Shield of North Carolina. Some providers charge more, and some offer an uninsured discount. For example, at the Kapiolani Medical Center in Aiea, Hawaii, where the full price is about $212, an uninsured patient would pay about $127 to $148.
  • Mammograms usually are covered by health insurance for women in the recommended age bracket. Many states require health insurance companies to cover regular mammograms, usually after age 40. The National Women's Law Center offers a state-by-state chart.
  • For women covered by health insurance, some plans require no out-of-pocket expenses, while others charge a copay, generally between $10 and $35.
  • A clinical breast exam is much less expensive, and usually is included as part of a general or gynecological check-up.
What should be included:
  • The mammogram technician places the breast between two plastic plates, which compress the breast tissue so a clear X-ray can be taken. The procedure takes about 20 minutes.
  • The American Cancer Society offers a primer on early detection of breast cancer. Only two to four of every 1,000 women who undergo a mammogram end up receiving a diagnosis of cancer.
  • In a clinical breast exam, the doctor or nurse manually checks the breasts, lymph nodes and nipples for any palpable irregularities.
Additional costs:
  • Women at high risk for breast cancer, such as those with a known breast cancer gene mutation, should consider getting an MRI each year in addition to a mammogram, according to the American Cancer Society.
  • If an irregularity is found, more testing or follow-up testing might be required. About 10 percent of women who have a mammogram require more tests, usually just another mammogram. However, about 8 to 10 percent do require a biopsy.
Discounts:
  • During the month of October, Breast Cancer Awareness Month, some community or women's groups offer free or very low-cost mammograms, sometimes using a mobile clinic. To find a program, call the Susan G. Komen for the Cure Breast Care Helpline at 1-800 I'M AWARE (1-800-462-9273). Or contact the YWCA's ENCOREplus program any time for a referral for a free or low-cost mammogram.
  • Visit the U.S. Centers for Disease Control and Prevention website to find a program in your area that offers low-cost or free mammograms to uninsured and underinsured women who qualify.
Shopping for a mammogram:
  • If you have health insurance, consult with your general practitioner or gynecologist to get a mammogram and/or a clinical breast exam.
  • Otherwise, check with your local Susan G. Komen for the Cure affiliate to get more information on planned screening events. Or, call your local health department or use the Planned Parenthood Federation of America, Inc.'s online search feature to find a local clinic.
  • For mammorgrams, the American Cancer Society recommends using a facility that performs many mammograms each day, and is authorized by the U.S. Food and Drug Administration to perform mammograms.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
 
Article updated March 2008
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What People Are Paying - Recent Comments

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(continued)
Amount: $0.00
Posted by: A Healthcare Worker2 in Rockford, IL.Posted: December 19th, 2009 07:12PM
Clinic or Doctor: n/aInsurance Carrier: n/a
Type of Policy: n/a
If the Diagnostic Mamm confirms benign findings, cool. If it shows something suspicious, however, your doctor may recommend other things, such as ultrasound, or biopsy, or both, and maybe a surgical consult.

If you have a mamm and are called to have more images, it is SO SO SO important that you have them done! Early detection is extremely beneficial and doctors DO NOT take chances with this stuff!

Ultrasound is fantastic but it would be terribly inefficient as a screening method because it can only look at a small place at a time, in real time. For breasts, u/s is used mainly to look at a specific area of concern -- a lump, if you have one; or whatever area was worrisome on the mamm(s). To use it for screening would require them to go around and around each breast and watch the screen the whole time, as opposed to a static x-ray "snapshot" of your breast (which is what a Screening Mamm is). They're not going to do a u/s until they know what they're looking for.

The two best "first line" ways to check for breast cancer are the Screening Mamm, which is quick and general, and breast exams (at least monthly self-exams, and at least yearly doctor's exams).

As to the chain of events described above by one woman, it ended up adding up to over a thousand dollars, but I am so thankful that that's where it stopped. A false alarm is better than a true one!

One of the things we hate in healthcare is the fact that many insurance companies don't cover routine screenings such as Screening Mamms and Colonoscopies, but they WILL pay for your chemo when you get breast cancer or colon cancer. It would be SO MUCH CHEAPER in the long run -- for the company, for you, for society at large -- run for them just to pay for the screenings and catch cancer earlier!
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(still continued)
Amount: $0.00
Posted by: A Healthcare Worker3 in Rockford, IL.Posted: December 19th, 2009 07:12PM
Clinic or Doctor: n/aInsurance Carrier: n/a
Type of Policy: n/a
I will not be happy until every single citizen in this country has access to affordable screening tests like these, because they are invaluable. I also do not have insurance, and I feel for you ladies who have been charged outrageous sums whether because of lack of insurance or because your insurance doesn't cover mamms. If you want a mammogram but cannot afford one you might call your local Health Department to see if they have any programs for free or discounted mamms for women who have no insurance or whose insurance does not cover them. Pap smears, too.

For more information about mammograms and the BI-RADS categories, I found this website helpful:
http://www.cancer.gov/cancertopics/factsheet/Detection/mammograms

I wish you all good health.
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Mammogram Conspiracy
Amount: $945.00
Posted by: Sorry I Bothered! in Kirkland,, WA.Posted: January 7th, 2010 08:01PM
Clinic or Doctor: Evergreen Medical CenterInsurance Carrier: Blue Cross BS
One more comment. Although my insurance carrier, Blue Cross Blue Shield, is willing to pay 100% of a "Screening Mammogram", they view the "Diagnostic Mammogram" as "not preventative", so consider it major medical. That, in my opinion, is the conspiracy. I believe that the hospitals and outpatient centers are purposefully requiring "diagnostic" mammograms just to get more money from the consumer. My "breast pain" was not a new finding and the hospital had my previous records with NO changes noted. This is the first time that they charged me so much when in the past, ALL necessary views/mammogram testing was considered part of the service. Considering that they halready had years of my previous films to support my benign condition, there was absolutely no reason to subject me to the extra testing. Like I said, it is a conspiracy to make money, nothing more!!
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Mammogram benefit a joke
Amount: $500.00
Posted by: Baited and trapped in Marietta, GA.Posted: January 14th, 2010 04:01PM
Clinic or Doctor: WellStar KennestoneInsurance Carrier: United Health Care
Type of Policy: HMO
Got my yearly mammogram, as usual, age 63, breast cancer survivor, and expected not to pay out of pocket, as in the past years. My UHC pamphlets I got at open enrollment plainly stated, routine mammograms covered 100% with no copay or deductables. Then I started getting bills of $340 for hospital use, $160 for radiology dept. services. I called and complained and filled out complaints about the charges. They say my visit was not routine, I say it is. I go every year. My results were clear. However they continue to insists I am not getting a routine mammogram. In Georgia it is a state law that mammograms are covered by all Insurance company doing business in the state. I am in process of sending copies of my open enrollment pamphlets and copies of my bills to the State Insurance Commissioner for review. I hope you will also if you read this. His recent letter to the insurers stated he is to watch their efforts to reduce benefits to policy holders.
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cost of mamogram
Amount: $0.00
Posted by: a user in Kingman, AZ.Posted: February 5th, 2010 04:02PM
Clinic or Doctor: Kingman Regional Medial CenterInsurance Carrier: bc/bs
Type of Policy: 1000.00 deductible
unbelievable mamogram 580.00
ultrasound 740.00
professional fees 496.00

first insurance paid 708.24
waiting for other ins. but no hopes for more than 700.00 leaving a balance with 2 insurance carries of 500.00. This is ridiculous if I were on state aid I would get it for free.
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Cost Comparission
Amount: $10.00
Posted by: Not Being Ripped Off Anymore in Seoul, Other.Posted: March 12th, 2010 10:03PM
Clinic or Doctor: S. Korean HospitalInsurance Carrier: National Insurance
Type of Policy: copay
I have had experiences with both US & Canadian health care so I just wanted to point this out to show you the injustice.

Last week I decided to get my first mamogram because I found out here in Korea women start getting them in their 20s.

I was a walk-in (no appointment necessary/ no referral needed) I didn't even have to wait longer than 10 minutes. It cost me $10 USD.

I am part of the National Insurance Plan (all citizens are and foreigners who are legally employed here) I pay like $30/month.

Their healthcare system is much more efficent and their quality of care is way better.

In terms of preventive care everyone gets one free annual thorough physical exam. and prescriptions are covered too very interesting that meds that cost over $100 back home cost $2 here!
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Cost
Amount: $950.00
Posted by: a user in salt lake city, UT.Posted: March 13th, 2010 08:03AM
Clinic or Doctor: st marksInsurance Carrier: aetna
Type of Policy: hsa
Doc prescribed diagn. and additional ultrasound. Cost was over $950 (I still have not received radiologist bill). After insurance I am paying $522 plus radiologist portion. This is seriously messed up when I compare costs above and when I asked cost of this it was not provided prior to appt.
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MAMMOGRAM
Amount: $105.00
Posted by: SAN LUIS OBISPO in SAN LUIS OBISPO, CA.Posted: April 20th, 2010 07:04AM
Clinic or Doctor: FRENCH HOSPITALInsurance Carrier: CATHOLIC HEALTHCARE WEST
Type of Policy: CHW
I HAD MY ANNUAL MAMMO AT THE HOSPITAL I WORK AT (I ALSO CARRY CHW INSURANCE) I WAS BILLED FOR AN AMOUNT GREATER THAN A CASH PAYING CUSTOMER! I MET WITH THE HOSPITALS CFO...SHE REDUCED MY BILL TO THAT OF A CASH PAYING CUSTOMER. MY ADVICE...IF YOU HAVE A DEDUCTIBLE, CHECK TO SEE IF THE PRICE FOR YOUR MAMMO IS CHEAPER IF YOU PAY CASH. (USUALLY ~ $100.00) THIS YEAR,2009, I AM PAYING CASH. WHAT A SCAM, CHW IS A NON-PROFIT...WHAT A JOKE THAT IS.
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regular yearly mammogram
Amount: $1,046.00
Posted by: d hornback in Lubbock, TX.Posted: April 23rd, 2010 02:04PM
Clinic or Doctor: Grace Medical lubbock txInsurance Carrier:
I got a regular mammogram form this clinic in Lubbock Texas and the cost was over 1000.00.
I was unaware of the cost as the year before I went to the normal place for 250.00
I am not going back.
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AGE 30
Amount: $354.00
Posted by: Sucky Insurance! in Tucson, AZ.Posted: May 4th, 2010 10:05AM
Clinic or Doctor: Radiology limitedInsurance Carrier: BCBS
I got a mammogram done in feb. and was billed for routine costing $291 and a CAD (2 additional x-rays) $63. I was told by radiology limited it would be billed medically nessecary since my mother was dx at age of 34 and later died at 40. Not the case. BCBS is refusing to see it as medically nessacary. They rather pay for my chemo and bone marrow transplant than a couple hundred dollars every year for a screaning. I got a mammogram when i was 26 under UNITED insurance and i didnt pay a dime. What is this world comming too. I'm so mad!
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mammogram price gouging
Amount: $450.00
Posted by: Faye in Tarzana, CA.Posted: May 28th, 2010 08:05AM
Clinic or Doctor: Providence Tarzana Medical CenterInsurance Carrier: United Health Care
Type of Policy: PPO
This is the first time in my life I have had insurance which I am not crazy about that has a high deductible, but it is a PPO. However in 2009 with this same insurance I had a colonoscopy, not the doctor or the facility tried to gouge me. This place did for the mammogram. I would have done better to tell them I had no insurance anymore. My insurance made them adjust this bill only by $184.50 so I still owe $265.50. I think they are trying to gouge patients due the health reform bill passing and make as much money as they can till they cannot anymore. My dad now deceased co created and co wrote Medicare and Medicaid working for the Government. Last year at another facility in Glendale, Ca the price before the insurance was about half of this. I chose to have it as this place because I bought a house and this is much closer to my new home. What a mistake to not ask for a price before hand, shop around or pretend to not have any insurance. To add insult to injury on their bill to me is an offer for a $100 mammogram in May and the coupon good till Dec. 31, 2010! Of course too late for me and they would have never told me this in April when I went in for my yearly. This is disgusting behavior. I would hate to go to medical school and work at a place like this, treat patients like this and have to look myself in the mirror.
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Reasonable in Wisconsin
Amount: $152.00
Posted by: SeemsReasonable in Appleton, WI.Posted: June 8th, 2010 07:06PM
Clinic or Doctor: Theda ClarkInsurance Carrier: United
Type of Policy: High Deductible
Billed $190 for basic screening and insurance paid all. This was covered under "preventative care."

However, billed $204 for follow up diagnostic, network reduced to $152. I paid the $152 because diagnostic is not part of preventative. The follow up (one view) including reading from radiologist took less than 15 minutes.

No family history so I go every other year. 44 years old.
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OMG seriously was my reaction
Amount: $638.00
Posted by: Lucy A in Waco, TX.Posted: June 10th, 2010 06:06PM
Clinic or Doctor: Scott & White Waco TexasInsurance Carrier: N/A
Type of Policy: N/A
I just got back from my mammogram and was floored when I seen my bill it was 638.00 after they took the 40% off. I really cried then I just couldn't hold back the tears. Allthough they were very nice there and I had a mammogram and an ultasound because they found something it was over $1000.00 minus the 40% for paying in full. Anywho, Im glad I went because it was needed Im 43, I found a lump and I have never had one before so I went, I did call first to find out how much money it would cost me and she said the mammogram starts around $180.00 so you can see I was shocked with $638.00 So regardless all women need one and forsure do your self exams every month.
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Forgo Mamogram
Amount: $0.00
Posted by: yls in mpls, MN.Posted: June 24th, 2010 07:06AM
After reading all the horror stories, at age 80 I'll forgo a mamogram, so much for all the coverage I think I have, there must be a cure for cancer and predatory pricing.
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cost
Amount: $0.00
Posted by: pissedoffmedstudent in Richmond, VA.Posted: July 8th, 2010 11:07AM
Clinic or Doctor: n/aInsurance Carrier: n/a
Type of Policy: n/a
You should shop around first. Then once you find a price that you like, get them to put it in writing first before you get the procedure (then if you get something different on a bill you can have something to back you up, especially if you have to go to court for not paying). You have a right to know just how much something is going to cost you before you get it, especially if you have to pay at the time of service. If you go in person it will also be easier to get a real price because you will be able to see the lies when you hear them (ask to speak to someone in billing for the real total cost and make an appt if you have to). And remember that if you really feel that you have been overcharged and especially if you have evidence of wrongful billing/procedures, you can always count on the labor board to get it straight.
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mamogram and pelvic
Amount: $2,757.15
Posted by: responsible party in miami, FL.Posted: July 12th, 2010 12:07PM
Clinic or Doctor: miami breast institueInsurance Carrier: assurant
Type of Policy: forgot
BIG TIME SCAM THEY SHOULD BE A SHAMED OF THIS , NOT ONLY DID I SPEND THE $250. 00 dollars on top of that ,as my 20% here how this reads, screening mammo dig $400.00 , cad screening $105.00 ultrasound pelvic -tra $475.00, ultrasound,pelvic $495.00, and yes i fell for the call back , which was another , out of my pocket of $133.00 but iam not finished , sorry i can not pay for this they really need to post the prices and have some type of sliding scale , health care we need , early heart attacks not yet , and they need to give a itemized bill at the end of office visit , shop around for a better price
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Mammogram
Amount: $867.00
Posted by: outraged in SF Bay Area California in Concord, CA.Posted: July 30th, 2010 04:07PM
Clinic or Doctor: John Muir Hospital, ConcordInsurance Carrier: Health Net
Type of Policy: PPO
Just got the bill for the annual screening exam. The hospital is charging $723, and the Dr. charges $144 to read the Xrays. I feel that is outrageous. My insurance disallows part of the hospital xray charge, bringing it down to $469.95. And reduces the reading charge to $56.87. That is still outrageous, and with a high deductible, all out of my pocket. Next year I will use a CLINIC instead of the hospital. I found six clinics in my area that charge $300 for the standard screening mammograms.
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mammogram
Amount: $315.00
Posted by: VB in Lake Orion, MI.Posted: August 13th, 2010 09:08AM
Clinic or Doctor: crittentonInsurance Carrier: BCBS
Type of Policy: PPO
The total bill is $1506 and insurance paid $1193. I will be making a lost of calls on this. No wonder insurance is so expensive
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Mammogram
Amount: $500.00
Posted by: msprissysmom in Lawton, OK.Posted: November 3rd, 2010 08:11AM
Clinic or Doctor: Comanche Imaging CenterInsurance Carrier: None
Type of Policy: None
No insurance and it runs in the family real bad and turning 49 thought I should have 1, haven't had it done yet, but thought I would google it to find out something less expensive.
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mammogram
Amount: $55.00
Posted by: susi in allen, TX.Posted: December 10th, 2010 05:12AM
Clinic or Doctor: viterbo italyInsurance Carrier: none
Type of Policy: none
i recently had a mammogram and ultra sound in italy for $55 dollars while on a trip. great doctors, great prices, no wait. the ama is lying about medical care in europe- it is fantastic and cheap sinece it is they have both public/private systems(only foreigners use private) because the public services are so good. mine was at a private clinic.
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mammogram
Amount: $438.00
Posted by: Bewildered by UHC in AK in Anchorage, AK.Posted: January 19th, 2011 09:01PM
Clinic or Doctor: Providence ImagingInsurance Carrier: United health care
Type of Policy: PPO
My insurance (United Health Care) does not cover screening mammograms if you "choose" a provider who is out of network. And United Health care does not have a network in Alaska! So I paid the full price, and found out I had early stage breast cancer. I hope that all women will find a way to get this done. Do your research, look for places that might offer a discount or even free if you don't have the money. Don't let the hassle and frustration over cost make mammograms something you avoid, they can save your life!
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mammogram
Amount: $400.00
Posted by: KT1977 in Las Vegas, NM.Posted: February 17th, 2011 05:02PM
Clinic or Doctor: SF Imaging ClinicInsurance Carrier: none
Type of Policy: none
Out of pocket. Recommended by my PCP, because she knew I didn't have insurance. Had to drive 1 hour to Santa Fe, but $100 less than local hospital. Worth the trip!
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Pay the Money! Save Your Life
Amount: $0.00
Posted by: Cancer Survivor in Irvine, CA.Posted: February 18th, 2011 08:02PM
Clinic or Doctor: n/aInsurance Carrier: n/a
Type of Policy: PPO
October 2010 they found cancer in my right breast during a diagnostic screening, it was small in size but a deadly spreading sort caught very early. I had insurance then but do not this year for follow up testing. I, nor you, should be playing Russian Roulette with breast cancer because of the costs. I skipped a year of yearly mammos and on the second year they found breast cancer. It is not anything to take lightly or place money first. Catch it early, pay for the tests, and be happy that it was nothing if you are so lucky. It is worth every hard earned penny to be tested. I have also had kidney cancer, again found very early and the most lethal of the urological cancers. Get tested at all costs. This year I will be paying dearly, and praying dearly, that cancer is not found. Insurance companies and health services are maddening, but I will take the hassle they bring over the reality of a cancer to fight.
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diagnostic mammogram, won't quote a price
Amount: $0.00
Posted by: joanM in milwaukee, WI.Posted: March 28th, 2011 08:03AM
Clinic or Doctor: Columbia St. Mary'sInsurance Carrier: Assurant
Type of Policy: family/individual
I've a $10,000 deductible so I tried to get a price on a DIAGNOSTIC mammogram for calcifcations. Columbia, which I've used before, Froedtert, and Aurora all refused to quote a price except for the procedure itself--they absolutely won't quote on the radiologist's or other fees. No way to check if the $684 I was quoted is a real number or if the woman in pricing just made it up on the spot. Yeah, Republicans and their "consumer driven" health care. @@ The patient advocacy ctr. that contracts with Assurant told me many women with high deductibles just lie and say they have no insurance so they can get a solid price.
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mammograms and calcifications
Amount: $0.00
Posted by: effie in Bronx, NY.Posted: March 31st, 2011 05:03AM
Clinic or Doctor: Doctor/HospitalInsurance Carrier: Medicare
Type of Policy: Medicare
My mammogram indicated I have breast calcifications in both breasts and the doctor said I required a biospy, which I had in the right breast, but no cancer was found. The procedure left a big scar. I am appalled that my doctor didn't tell me before the biopsy that having it could result in scar tissue would which require mammograms every six months, and my cancer risk has increased now because of the biopsy. The doctor wanted to biopsy my other breast and I refused so now she is mad, and I will not go for any more mammograms since I am 82 years old. These doctors should be ashamed of themselves for not telling the patient the whole story about these procedures because they want to make more money.
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Mammograms regular yearly
Amount: $232.00
Posted by: yy in Duluth, GA.Posted: April 7th, 2011 12:04PM
Clinic or Doctor: Northside Hospital GAInsurance Carrier: Blue cross
Type of Policy: ppo
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Feel tricked and cheated!!!
Amount: $776.00
Posted by: a user in Cumming, GA.Posted: May 20th, 2011 09:05AM
Clinic or Doctor: Northside Hosp GAInsurance Carrier: United Healthcare
Type of Policy: PPO
Went for a yearly Gyno visit and doctor said I was due for mommorgram. Noted I had slight soreness in left breast so she wrote for a 'diagnostic" mam. instead of a "screening" mam. Screening is free but apparently diagnostic costs $776! Thank goodness no cancer but feel completely hoodwinked and cheated. Put off getting a mammo because I did't have any money for copay. This year though my 100% coverage for yearly screening would be a great time for mammo. Guess I am just another uneduacted consumer. Follow up in 6 months? Not likely.
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stamford hospital in Ct charge $800 for mamogram
Amount: $800.00
Posted by: LuzMery Pelaez in stamford, CT.Posted: August 27th, 2011 07:08AM
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HAVE TO PAY CO PAY OF 400.00 MAMMOGRAM
Amount: $400.00
Posted by: a user in STAMFORD, CT.Posted: September 6th, 2011 11:09AM
Clinic or Doctor: STAMFORD HOSPITA'Insurance Carrier: CIGNA
i THINK IT SHOULD BE A PREVENTATIVE WITHOUT PAYING THE 400.00 DEDUCTIBLE
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ROUTINE SCREENING MAMMO
Amount: $0.00
Posted by: Pam Vernon in HIGH POINT, NC.Posted: September 9th, 2011 05:09AM
Clinic or Doctor: PREMIER IMAGING LLCInsurance Carrier: UMR
Type of Policy: PPO
I had my annual MAMMO and I paid absolutely NOTHING!!!! I had a greaaaaat experience and will be going back there each year.
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annual screening
Amount: $128.00
Posted by: Donna Elliott in wilmington, DE.Posted: December 7th, 2011 09:12AM
Clinic or Doctor: Brandywine ImagingInsurance Carrier: BCBS Regence
Type of Policy: ppo
Have been going there for 11 years for annual screening never paid anything because ins. covered 100% screening. This year was in and out faster than ever and got a bill for an additional view coded as a medical mammo in addition to the annual screening so not part of the 100% a doc never ordered this and all was normal they say the tech must have thought it was needed, so i asked if i will need to stop a tech after 4 images so i will not have to pay for additional mammo going forward she said "well if you are comfortable with that"..something is so wrong here.
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Mammogram
Amount: $0.00
Posted by: Karen Russo in Marlboro, NJ.Posted: January 20th, 2012 08:01AM
Clinic or Doctor: Freehold RadiologyInsurance Carrier: Horizon Blue Cross of NJ
Type of Policy: Direct Access HSA
Spent an hour on the phone with gyno, radiologist and ins. co. Went in for a routine gyno exam, and doctor felt a fibrocystic area on left breast. So he wrote RX for a routine mammo and a diagnostic ultrasound just to be safe. I am entitled to one routine mammo per year under my insurance, but I am not sure if it will be covered because gyno wrote routine and a diagnostic code. Very frustrating as I could not get an answer from insurance carrier. Told me it would be paid depending upon how the radiologist billed the claim!!!???
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