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

Screening mammogram of both breasts, CPT 77067. Also called mammogram, screening mammography, routine mammogram. In-network rates by insurer.

Screening mammogram cost in San Jose, 2026: in the San Jose area, insurers pay a typical $180 for a screening mammogram at doctors' offices and imaging centers. By insurer, the typical office rate runs from $168 (Aetna) to $234 (Cigna). Original Medicare's rate is $172 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$204
$136 to $276		304
Blue Shield of California$169
$153 to $293		84
Aetna$168
$142 to $203		161
UnitedHealthcare$191
$154 to $257		143
Cigna$234
$172 to $296		141
Original Medicare$172-

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 screening mammogram in San Jose

Across 304 billing entities in the San Jose area, the middle of Anthem's rate menu for a screening mammogram at offices and imaging centers is $204, and the middle half of those values runs from $136 to $276. 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 screening mammogram in San Jose

Blue Shield of California pays a median of $169 for a screening mammogram at offices and imaging centers in the San Jose area, with the middle half of 84 billing entities between $153 and $293. That office median is slightly below what Original Medicare pays. For your plan's exact price, use Blue Shield's Treatment Cost Estimator.

Aetna negotiated rate for a screening mammogram in San Jose

Aetna pays a median of $168 for a screening mammogram at offices and imaging centers in the San Jose area, with the middle half of 161 billing entities between $142 and $203. 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 screening mammogram in San Jose

UnitedHealthcare pays a median of $191 for a screening mammogram at offices and imaging centers in the San Jose area, with the middle half of 143 billing entities between $154 and $257. 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 screening mammogram in San Jose

Cigna pays a median of $234 for a screening mammogram at offices and imaging centers in the San Jose area, with the middle half of 141 billing entities between $172 and $296. 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 screening mammogram

A routine screening mammogram of both breasts for someone without symptoms. A diagnostic mammogram, done to check a lump or follow up a finding, is a different code with different rules. Billing code: CPT 77067.

What the price covers

  • Rates here are for the whole service billed as one charge: the scan and the radiologist's reading.
  • Under the Affordable Care Act, most plans must cover a screening mammogram with no cost to you for women 40 and older when you use an in-network provider. The rates on this page are what the insurer pays the provider, not your share.
  • Since 2026, most plans must also cover any additional imaging needed to finish the screening, such as a follow-up diagnostic mammogram after an abnormal result, with no cost to you.
  • 3D mammography (tomosynthesis) is billed as an add-on code (77063) on top of this one.

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 $172 for a screening 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.