How Much Does a Mammogram Cost in the U.S.?

In the U.S., insurance usually covers a screening mammogram under the Affordable Care Act (ACA). The average cost of a 3D mammogram in the U.S. without insurance ranges from $191 to $1,449. 

With nearly 40 million screening mammograms performed each year in the U.S., this exam remains one of the most critical tools for early cancer detection.  The American Cancer Society reports a 99% survival rate when cancer is diagnosed at a localized stage.

This report examines mammogram costs across U.S. hospitals, highlighting differences between insured and uninsured patients.

*All data are aggregated from the AllClinics platform. 

What Factors Influence Mammogram Cost?

Mammogram costs differ significantly across states. The key factors include procedure type, facility type, location, insurance plan, and additional services. Let’s discover each factor in more detail. 

1. Type of Mammogram

There are several types of mammograms based on the purpose of the exam and the technology used.

By purpose:

• A screening mammogram is a routine check recommended annually for most women starting at age 40. It usually consists of two images per breast.
• A diagnostic mammogram is used when a patient has symptoms. It includes additional, more detailed images from multiple angles and may focus on a specific area of the breast. 

Diagnostic mammograms typically cost more because they take longer and require a radiologist's review.

By technology:

• A 2D mammogram captures two flat images of each breast. This is the traditional method, still widely used and effective for many patients.
• A 3D mammogram takes dozens of low-dose X-ray images from different angles to create a layered, 3D reconstruction of the breast. This method provides clearer images but it’s more expensive and isn’t fully covered by all insurance companies yet.

2. Facility Type and Location

You can get a mammogram at a hospital, clinic, or independent imaging center. Hospitals often charge higher rates due to their higher overhead costs and more complex billing structures.

Moreover, urban areas usually have higher costs than rural areas. Local cost of living, regional medical pricing, and competition can impact price.

3. Insurance Coverage

Medicare, Medicaid, and some state programs usually cover screening mammograms at little or no cost. Choosing a provider outside your insurance network, however, can increase your personal expenses.

4. Technology & Equipment

Facilities using the latest imaging machines or AI-assisted analysis may charge more. Also, healthcare providers with higher accreditation, such as FDA-certified breast imaging centers, may also have higher rates due to quality standards.

5. Additional Services

There may be additional services that add to the final cost. This includes radiologist interpretation fees, follow-up imaging for abnormal findings, contrast-enhanced scans, and any lab tests that may be required after the initial exam.

How Much Does a Mammogram Cost with Insurance​?

In the U.S., most health insurance plans cover screening mammograms for women aged 40 and older without any cost-sharing. This includes routine mammograms for women without symptoms and, in many cases, follow-up imaging as part of the screening process. 

Private insurance plans usually comply with the Affordable Care Act (ACA), so they cover annual mammograms and may provide earlier or more frequent screenings for women at high risk. Out-of-pocket costs can still occur in certain situations, such as diagnostic mammograms triggered by symptoms, 3D mammography, or out-of-network care.

How Much Does a Mammogram Cost without Insurance​?

The average cost of a 3D mammogram without insurance​ is $354.06, with prices ranging from $191 to $1,449 based on data from 132 U.S. hospitals. 

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