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See a sample rate comparisonCPT 77046 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Mri Of One Or Both Breasts, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of One Or Both Breasts. Multiple Images May Be Taken.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Breast, Mammography |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 77046 |
| Medicaid Fee Schedule | View Medicaid rates for 77046 |
National average reimbursement for CPT 77046 by major payers:
$284.19
$519.54
$322.84
$356.27
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CPT 77046
5 of 25 sample ratesHigher to lower in this preview
Atl Colorectal Surgery
$1,752.66Published rateCatholic Health Initiatives Colorado, Centura St Anthony North Hospital
Catholic Health Initiatives Colorado
$517.78Published rateNorth Houston, Hca Houston Healthcare Tomball
$437.25Published rateMercy Hospital Carthage
$230.55Published rateAkumin Imaging Texas LLC
Akumin Inc.
$65.31Published rate
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See a sample payer proposalCPT 77046 vs. Other Breast, Mammography Codes
The CPT 77046 code is part of the Radiology Procedures services used for Breast, Mammography. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 77046 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 76945-CPT | Low | Ultrasound Of Placenta, The Placenta And Uterus Are Viewed With Ultrasound (Sound Waves) To Guide Taking A Tissue Sample From The Placenta (Chorionic Villus). The Sample Is Tested For Genetic Abnormalities. |
| 76946-CPT | Low | Ultrasound For Amniocentesis, A Small Amount Of Amniotic Fluid Is Removed Using Ultrasound (Image Made With Sound Waves) To View The Area Accurately. |
| 76948-CPT | Low | Ultrasound To Remove Ova, Ova (Eggs) Are Removed Using Ultrasound (Image Made With Sound Waves) To View The Area Accurately. |
| 77046-CPT | Moderate | Mri Of One Or Both Breasts, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of One Or Both Breasts. Multiple Images May Be Taken. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77046. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77046 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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