How Much Does a Mammogram Cost in 2026?
A routine screening mammogram is $0 out of pocket with insurance under the ACA, or about $100 to $350 self-pay. A diagnostic mammogram is not free and runs about $150 to $500.
- A screening mammogram (CPT 77067) is a $0 preventive service with in-network insurance under the ACA. A diagnostic mammogram is not, so how it is coded matters.
- Self-pay, a standalone imaging center is far cheaper than a hospital outpatient department; 3D tomosynthesis adds about $50-$100.
- Uninsured? The CDC NBCCEDP program and free October screening events offer no-cost mammograms to eligible women.
Mammogram Cost by Type
What you pay depends on whether it is screening or diagnostic, and where you go.
| Type | With insurance | Self-pay (cash) |
|---|---|---|
| Screening, 2D (CPT 77067) | $0 | $100 to $250 |
| Screening, 3D (tomosynthesis) | $0 to $100 | $150 to $350 |
| Diagnostic (CPT 77065/77066) | deductible + coinsurance | $150 to $500 |
| Hospital outpatient (any type) | varies + facility fee | $250 to $1,000 |
Lowest price: An in-network screening mammogram ($0), or a standalone imaging center's cash rate if you are uninsured.
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Screening vs. Diagnostic: The $0 Difference
Screening mammogram
$0 insured
A routine check with no symptoms, for average-risk women (generally annually or every other year starting at 40). Protected as a $0 preventive service under the ACA when in-network and coded as screening (CPT 77067). Self-pay is about $100-$350.
Diagnostic mammogram
$150 to $500
Ordered to investigate a lump, symptom, dense-breast finding, or an abnormal screening. It is NOT a free preventive service: your deductible and coinsurance apply with insurance, and self-pay runs about $150-$500. Additional images or a follow-up ultrasound are billed on top.
This coding difference is the number-one reason a "free" mammogram turns into a bill. If that happened to you, see why your screening mammogram was billed and how to push back.
How to Pay Less
Confirm it is booked as screening and in-network
To keep the $0 preventive benefit, make sure the order says screening (CPT 77067), the facility is in-network, and you do not describe a symptom at check-in unless you have one. Ask the scheduler to confirm it will be billed as screening.
Use a standalone imaging center, not a hospital
If you are self-pay, an outpatient imaging center or breast-imaging clinic charges far less than a hospital, which adds a facility fee. Cash rates of $100-$250 are common.
Check the CDC NBCCEDP program if uninsured
The National Breast and Cervical Cancer Early Detection Program provides free or low-cost screening mammograms to eligible uninsured and low-income women through your state health department.
Look for free screening events
Hospitals, imaging centers, and nonprofits run free or discounted mammogram events, especially in October for Breast Cancer Awareness Month. Community health centers also offer sliding-scale pricing.
Got billed anyway? Get the bill reviewed
A screening mammogram billed as diagnostic, or a surprise facility fee, is often reviewable. See why your screening turned into a bill, or have CareRoute Bill Defense review and negotiate it, with no fee unless we save you money.
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Open the cost estimatorFrequently Asked Questions
Is a screening mammogram free?
For most insured women 40 and older, yes. Under the Affordable Care Act, a routine screening mammogram is a preventive service with $0 out-of-pocket cost when you use an in-network provider and it is coded as screening (CPT 77067). This applies to commercial plans and Medicare. A diagnostic mammogram is not free, and neither is a screening done out-of-network.
What is the difference between a screening and a diagnostic mammogram cost?
A screening mammogram is a routine check with no symptoms and is $0 with insurance under the ACA (about $100 to $300 self-pay). A diagnostic mammogram is ordered to investigate a lump, symptom, dense-breast finding, or an abnormal screening, and it is NOT free: your deductible and coinsurance apply, and self-pay runs about $150 to $500.
Does a 3D mammogram (tomosynthesis) cost more?
3D tomosynthesis usually adds about $50 to $100 over a standard 2D mammogram. Medicare and most commercial plans now cover 3D at no extra cost for screening, but some plans still charge for the 3D add-on, so confirm before your appointment.
How can I get a free or low-cost mammogram without insurance?
The CDC's National Breast and Cervical Cancer Early Detection Program (NBCCEDP) provides free or low-cost screening mammograms to eligible uninsured and low-income women through state programs. Community health centers, hospital charity care, and free screening events (common in October for Breast Cancer Awareness Month) are other options. A standalone imaging center's cash price is usually far below a hospital's.
Why was I billed for a mammogram I thought was free?
The most common reason is that the mammogram was coded as diagnostic instead of screening (for example, after a recall, because of dense breasts, or because you mentioned a symptom), which removes the $0 preventive protection. Additional images or an ultrasound at the same visit can also be billed. These bills are often reviewable and sometimes disputable, see our guide on why your screening mammogram was billed.
More Cost Guides
Sources
- ACA preventive services coverage rules (screening mammogram, $0 cost-sharing)
- Medicare.gov coverage for screening and diagnostic mammograms (CPT 77067, 77065, 77066)
- CDC National Breast and Cervical Cancer Early Detection Program (NBCCEDP)
- Hospital price-transparency (machine-readable file) cash rates for mammography
- FAIR Health and Healthcare Bluebook fair-price data for 2D and 3D mammograms
Prices are national estimates for 2026 and vary by location, provider, and your specific plan. This is general cost information, not medical advice. Last updated September 12, 2026.