Diagnostic mammogram cost in San Jose (2026): what Aetna, Anthem, Blue Shield, UnitedHealthcare and Cigna pay

Diagnostic mammogram of both breasts, CPT 77066. Also called diagnostic mammography, follow-up mammogram, bilateral diagnostic mammogram. In-network rates by insurer.

Diagnostic mammogram cost in San Jose, 2026: in the San Jose area, insurers pay a typical $219 for a diagnostic mammogram at doctors' offices and imaging centers. By insurer, the typical office rate runs from $202 (Blue Shield of California) to $290 (Cigna). Original Medicare's rate is $213 here. Rates from five insurers' published files, for providers within 20 miles of downtown San Jose.

What each insurer pays

InsurerOffices and imaging centers
median, middle half		Billing entities
Anthem Blue Cross$246
$177 to $325		307
Blue Shield of California$202
$182 to $349		84
Aetna$206
$174 to $251		151
UnitedHealthcare$233
$190 to $314		141
Cigna$290
$213 to $365		141
Original Medicare$213-

Anthem Blue Cross figures reflect the menu of rates Anthem lists across its contracts, not contract-specific prices (why). Kaiser Permanente is not listed. Most Kaiser care is prepaid inside its own system, and it does not publish usable per-service rates.

Anthem Blue Cross negotiated rate for a diagnostic mammogram in San Jose

Across 307 billing entities in the San Jose area, the middle of Anthem's rate menu for a diagnostic mammogram at offices and imaging centers is $246, and the middle half of those values runs from $177 to $325. That office median is 1.2 times what Original Medicare pays. Anthem lists the same menu of rates under nearly every contract, so these figures show the middle of that menu, not the rate a specific provider is paid. For your plan's exact price, use Anthem's Find Care and cost estimates.

Blue Shield of California negotiated rate for a diagnostic mammogram in San Jose

Blue Shield of California pays a median of $202 for a diagnostic mammogram at offices and imaging centers in the San Jose area, with the middle half of 84 billing entities between $182 and $349. That office median is 95% of what Original Medicare pays. For your plan's exact price, use Blue Shield's Treatment Cost Estimator.

Aetna negotiated rate for a diagnostic mammogram in San Jose

Aetna pays a median of $206 for a diagnostic mammogram at offices and imaging centers in the San Jose area, with the middle half of 151 billing entities between $174 and $251. That office median is slightly below what Original Medicare pays. For your plan's exact price, use Aetna's Find Care cost estimates.

UnitedHealthcare negotiated rate for a diagnostic mammogram in San Jose

UnitedHealthcare pays a median of $233 for a diagnostic mammogram at offices and imaging centers in the San Jose area, with the middle half of 141 billing entities between $190 and $314. That office median is 1.1 times what Original Medicare pays. For your plan's exact price, use UnitedHealthcare's price transparency tool.

Cigna negotiated rate for a diagnostic mammogram in San Jose

Cigna pays a median of $290 for a diagnostic mammogram at offices and imaging centers in the San Jose area, with the middle half of 141 billing entities between $213 and $365. That office median is 1.4 times what Original Medicare pays. For your plan's exact price, use the myCigna cost estimator (sign in).

About a diagnostic mammogram

A mammogram of both breasts done to check a symptom, such as a lump, or to follow up a finding on a screening mammogram. It takes more images than a screening mammogram, and a radiologist often reviews them while you wait. Billing code: CPT 77066.

What the price covers

  • Rates here are for the whole service billed as one charge: the scan and the radiologist's reading.
  • When it follows up an abnormal screening mammogram, most plans must cover it with no cost to you (since 2026). When it is done to check a symptom, such as a lump, your deductible and coinsurance usually apply.
  • A diagnostic mammogram of one breast (CPT 77065) is a different code with a lower price.

What you would actually pay

The negotiated rate is the total the provider is paid. Your share depends on your plan. If you have not met your deductible, you usually pay the whole negotiated rate: at a $219 rate, that is $219. Once the deductible is met, coinsurance applies: at 20% coinsurance you would pay $44 and the insurer the rest. Plans with a flat copay for this service charge the copay instead.

Going out of network is different. The provider has no agreed rate with your insurer, so they can usually bill their full listed price. Federal and California law limit that in emergencies and for some out-of-network clinicians at in-network hospitals.

Paying without insurance

The rates on this page are what insurers pay in network, not cash prices. If you are paying yourself, they are still a useful benchmark: ask the provider for its self-pay price before you book and compare it with these rates and with Original Medicare's $213 for a diagnostic mammogram in San Jose. Many freestanding imaging centers post cash prices for scans. Hospitals must publish a discounted cash price under federal price transparency rules, and if you are uninsured or paying yourself, the No Surprises Act entitles you to a written good faith estimate before scheduled care.

Get the price for your exact plan

An insurer has many contracts, and each plan uses one of them. The figures on this page cover all of an insurer's contracts in the area. The price for your plan depends on which one applies, and that is set by your employer or the plan name on your insurance card.

Your insurer's own cost tool gives a plan-specific estimate once you sign in:

AI assistants can look it up too. Arlo's free price transparency API and the Arlo MCP server for Claude and ChatGPT take a service, a ZIP code and a plan, and return nearby in-network providers with their negotiated rates.

Where these numbers come from

Rates come from the price transparency files Anthem Blue Cross, Blue Shield of California, Aetna, UnitedHealthcare and Cigna publish, for providers within 20 miles of downtown San Jose. We clean the files before summarizing them and only show an insurer when enough providers report a rate. Medicare figures are from the 2026 Physician Fee Schedule. More on how these pages are built.