Under the ACA, screening mammograms for women 40+ are covered at no cost in most private plans. Medicare covers a yearly screening mammogram for women 40+, usually at $0. Diagnostic mammograms and ultrasounds follow normal cost-sharing. A clinical breast exam is often part of a well-woman or physical exam, usually alongside a pelvic exam.
USA Breast Exam: Quick Facts
- USPSTF mammogram
- Every 2 years, ages 40–74
- High risk
- Yearly MRI + mammogram may be recommended
- Clinical exam length
- About 5–10 minutes
- Self-check timing
- A few days after your period ends
- Density notification
- Required nationwide since Sept 2024
- Coverage
- Screening mammograms $0 (ACA, Medicare)
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Disclaimer: This guide is for general information and is not medical advice. Coverage, prices and requirements change and vary by provider and location. Confirm details with your provider, insurer or the agency listed in the sources. Read our editorial policy.