BAYCARE CHARGE 10002478 MAMMOGRAM SCREEN & DX BILATERAL Insurance and Self Pay Discounts 401 77066 $910.00

A bilateral diagnostic and screening mammogram (CPT 77066) is an imaging procedure used to detect breast cancer or other abnormalities in both breasts, either as part of routine screening or for further investigation of symptoms. The listed fee of $910.00 covers the radiology imaging service, typically including the technical imaging, radiologist interpretation, and standard supplies. Actual out-of-pocket costs vary significantly based on your insurance provider, negotiated discounts, and whether you are self-pay. To avoid unexpected charges, patients should request an itemized estimate in advance and clarify whether the radiologist’s interpretation and any follow-up imaging are included.

Cost Breakdown

  • Standard Fee: $910.00
  • Self-Pay Discounted Fee: $434.18
  • Insurance-Based Costs:
    • Aetna W: $326.76
    • Aetna PPO: $758.92
    • Anthem Blue Priority/Preferred: $290.81
    • Anthem PPO: $773.49
    • Cigna PPO: $769.79
    • Humana PPO: $769.79
    • UHC PPO: $769.86
    • Lowest Insurance Rate: $290.81
    • Highest Insurance Rate: $773.49
  • Minimum Recorded Fee: $455.00
  • Maximum Recorded Fee: $773.49

Associated Costs

  • Possible additional imaging (ultrasound, MRI) if abnormalities are found
  • Consultation fees with specialists
  • Biopsy charges if further investigation is required
  • Facility or hospital fees (occasionally billed separately)

Insurance & Payment Advice

  • Verify network status with your insurer to access best rates.
  • Ask if your plan covers both the imaging and radiologist’s interpretation.
  • Request a pre-procedure estimate and itemized bill post-procedure.
  • Check if you are eligible for financial assistance or self-pay discounts.
  • Consider using a Flexible Spending Account (FSA) or Health Savings Account (HSA) for payment.

Frequently Asked Questions

  • What is a bilateral screening and diagnostic mammogram?
    It is an X-ray of both breasts, used to check for early signs of cancer or to investigate symptoms such as lumps or pain.
  • Does insurance usually cover this procedure?
    Most insurance plans cover screening mammograms, but coverage for diagnostic mammograms may differ. Check with your insurer about your specific benefits and copays.
  • What is the typical out-of-pocket cost?
    Depending on your insurance, the out-of-pocket cost can range from under $300 to over $750. Self-pay patients may receive discounts, with fees as low as $434.18.
  • Are there additional fees I should expect?
    Potential additional fees may include radiologist interpretation (if billed separately), further imaging, or biopsy if abnormal findings are detected.
  • How can I lower my costs?
    Ask for an itemized quote, verify insurance coverage, inquire about self-pay discounts, and use FSA/HSA funds if available.
  • Is the radiologist’s fee included?
    It is often included, but sometimes billed separately. Confirm with your provider before the procedure.
  • What should I do if I receive a higher-than-expected bill?
    Request an itemized bill, compare it with your estimate, and contact your provider’s billing office to discuss discrepancies or negotiate charges.
  • Are there risks or side effects?
    Mammograms use low-dose X-rays. Risks are minimal, but mild discomfort or temporary soreness may occur.
  • Can I go back to work after the procedure?
    Yes, you can resume normal activities immediately after a mammogram.
  • How often should I get a mammogram?
    Guidelines vary, but most recommend annual or biennial screening starting at age 40–50. Consult your healthcare provider for personalized recommendations.
  • What happens if my results are abnormal?
    Your doctor will discuss next steps, which may include additional imaging or biopsy. These may incur extra costs.

Aurora BAYCARE
CHARGE
10002478
MAMMOGRAM SCREEN & DX BILATERAL
Rev 401
CPT 77066
NDC NA

Fee $910.00

Self-Pay $434.18
Minimum $455.00
Maximum $773.49

Insurance
Aetna W $326.76
Aetna PPO $758.92
Anthem Blue Priority $290.81
Anthem Blue Preferred $290.81
Anthem PPO $773.49
Aurora Caregiver $441.40
Centivo $469.43
Cigna GPPO $556.35
Cigna PPO $769.79
Common Ground ETF Network $386.02
Common Ground Exchange Envision $386.02
Common Ground Group Envision $386.02
Everpointe Elite $426.22
Health EOS Plus $555.10
Health EOS PPO $728.00
HealthPartners ETF $428.00
HealthPartners Robin Focused $545.16
HealthPartners Broad $682.50
HPS $474.35
HST $473.64
Humana HPN $433.45
Humana HMO $433.45
Humana PPO $769.79
Molina Exchange $381.47
Quartz One $432.33
Quartz Group $475.96
Trilogy $509.15
UHC Individual Exchange $393.86
UHC Charter $398.44
UHC Nexus $398.44
UHC HMO $433.89
UHC PPO $769.86
WPS Aurora Featured Network $412.47
WPS Arise $434.18
WPS Statewide $434.18