Hoeveel Kost Mammografie?
A mammogram is an X-ray imaging of the breast used to screen for and detect breast cancer. It can identify tumors, cysts, and calcifications before they can be felt.
Zonder Verzekering
$350
Met Verzekering
$50
Medicare
$150
Nationaal Gemiddelde
$250
By Elena Bellini, MPH, Health Policy & Management · Last reviewed 2026-04-16 ·
Sources: CMS Medicare Provider Utilization and Payment Data 2025 · Methodology · Editorial standards Overzicht
A mammogram is a low-dose X-ray examination of breast tissue used to detect breast cancer before it is clinically palpable, as well as to evaluate a new lump or other abnormality. Screening mammograms are routine studies for asymptomatic women; diagnostic mammograms are targeted studies performed to work up a specific finding. Modern breast imaging is increasingly performed with digital breast tomosynthesis (3D mammography), which acquires multiple slice images of the breast and has been shown to detect more cancers and reduce recall rates. The U.S. Preventive Services Task Force recommends biennial screening mammography for women 40–74; other professional societies (ACS, ACR) recommend earlier and more frequent screening based on individual risk. The study itself takes 10–15 minutes, and results typically return within a few days.
Wat de kosten beïnvloedt
- 2D vs 3D imaging: digital breast tomosynthesis adds $50–$150 to the base charge at most facilities.
- Screening vs diagnostic indication: diagnostic mammograms are billed at higher CPT codes than screening mammograms and are typically subject to plan cost-sharing.
- Site of service: hospital outpatient imaging departments bill a facility fee that dedicated breast imaging centers may not.
- Need for additional views or ultrasound: dense breast tissue and equivocal findings often trigger additional imaging on the same day, each with its own CPT code.
- Radiologist interpretation: sometimes billed as a separate professional fee.
- Computer-aided detection (CAD) software: many facilities add a small CAD charge.
Hoe te Besparen
- Confirm that your screening mammogram is billed as preventive care under ACA rules — it should have no cost-sharing on most commercial plans.
- If you are under 40 or otherwise not covered by preventive-care rules, request the cash/self-pay price; screening mammograms are routinely available for $50–$150 out of pocket at freestanding imaging centers.
- Ask whether a 2D exam is clinically sufficient; tomosynthesis is valuable for dense breast tissue but is not medically required for all patients.
- Look for local breast health initiatives; many states operate programs offering free or reduced-cost mammograms to uninsured and underinsured women (CDC NBCCEDP program).
- If a diagnostic study is ordered, ask the facility whether a bundled rate is available that includes any additional views.
- If you are insured, confirm that the imaging center and the interpreting radiologist are in-network before the appointment.
Opmerkingen over verzekering en dekking
Under the Affordable Care Act, screening mammograms for women 40 and older are covered at no cost-sharing by most commercial plans; Medicare covers annual screening mammograms from age 40 at no cost-sharing under Part B. Under a 2023 update to the federal preventive services guidelines, coverage of diagnostic mammograms at no cost-sharing is mandated in a growing number of states, but is not yet universal across commercial plans. Women with dense breast tissue or elevated personal risk may be eligible for supplemental screening ultrasound or MRI; coverage of these modalities varies by plan and state. Medicaid coverage varies by state.
Data sources for this page
Cost figures on this page are compiled from the following sources, triangulated per the rules in our methodology:
- CMS Medicare Provider Utilization and Payment Data 2025 — primary CMS reference used as the Medicare-rate anchor.
- Hospital Price Transparency machine-readable files (HPT MRFs) from a sample of major hospitals in each state, per the federal Hospital Price Transparency rule.
- Transparency in Coverage payer in-network rate files for commercial-rate cross-validation.
- State All-Payer Claims Database (APCD) summaries where published (Colorado, New Hampshire, Massachusetts, Minnesota, Maine, Utah, Vermont, Rhode Island, Washington, Oregon).
Last reviewed 2026-04-16. See editorial standards for our fact-checking process and correction policy.
Range: $252 to $483 · 50 states shown
Kosten per Staat
| Staat | Zonder Verzekering | Met Verzekering | Medicare |
|---|---|---|---|
| Mississippi | $252 | $36 | $108 |
| Arkansas | $263 | $38 | $113 |
| West Virginia | $263 | $38 | $113 |
| Alabama | $273 | $39 | $117 |
| Oklahoma | $273 | $39 | $117 |
| Kentucky | $298 | $43 | $128 |
| Louisiana | $301 | $43 | $129 |
| Iowa | $308 | $44 | $132 |
| New Mexico | $308 | $44 | $132 |
| South Carolina | $308 | $44 | $132 |
| South Dakota | $308 | $44 | $132 |
| Kansas | $312 | $45 | $134 |
| North Dakota | $312 | $45 | $134 |
| Idaho | $315 | $45 | $135 |
| Nebraska | $315 | $45 | $135 |
| Tennessee | $315 | $45 | $135 |
| Indiana | $326 | $47 | $140 |
| Missouri | $326 | $47 | $140 |
| Utah | $326 | $47 | $140 |
| Wyoming | $326 | $47 | $140 |
| Georgia | $329 | $47 | $141 |
| North Carolina | $329 | $47 | $141 |
| Michigan | $333 | $48 | $143 |
| Montana | $333 | $48 | $143 |
| Arizona | $343 | $49 | $147 |
| Ohio | $343 | $49 | $147 |
| Wisconsin | $343 | $49 | $147 |
| Maine | $347 | $50 | $149 |
| Texas | $347 | $50 | $149 |
| Florida | $354 | $51 | $152 |
| Minnesota | $354 | $51 | $152 |
| Illinois | $361 | $52 | $155 |
| Pennsylvania | $361 | $52 | $155 |
| Delaware | $364 | $52 | $156 |
| Nevada | $364 | $52 | $156 |
| Vermont | $364 | $52 | $156 |
| Virginia | $364 | $52 | $156 |
| Colorado | $371 | $53 | $159 |
| New Hampshire | $371 | $53 | $159 |
| Oregon | $371 | $53 | $159 |
| Maryland | $385 | $55 | $165 |
| Rhode Island | $389 | $56 | $167 |
| Washington | $389 | $56 | $167 |
| Connecticut | $420 | $60 | $180 |
| New Jersey | $420 | $60 | $180 |
| California | $462 | $66 | $198 |
| Massachusetts | $466 | $67 | $200 |
| Alaska | $473 | $68 | $203 |
| New York | $473 | $68 | $203 |
| Hawaii | $483 | $69 | $207 |
Veelgestelde Vragen
Hoeveel kost mammografie zonder verzekering?
De gemiddelde kosten van mammografie zonder verzekering in de VS zijn $350. Kosten variëren aanzienlijk per staat.
Dekt de verzekering mammografie?
De meeste zorgverzekeringen dekken mammografie wanneer medisch noodzakelijk. Met verzekering zijn de gemiddelde eigen kosten $50.
Dekt Medicare mammografie?
Medicare Deel B dekt doorgaans mammografie op voorschrift van een arts. Het gemiddelde door Medicare goedgekeurde bedrag is $150.
Beoordeeld door Elena Bellini · Laatst beoordeeld: 2026-04-16
Gegevens afkomstig van CMS Medicare Provider Utilization and Payment Data 2025. Laatst bijgewerkt: 2026-03-01. Deze informatie is uitsluitend voor educatieve doeleinden en vormt geen medisch advies. Deze website is uitsluitend bedoeld voor informatieve doeleinden en vormt geen medisch advies. Raadpleeg altijd een gekwalificeerde zorgverlener.