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See a sample rate comparisonCPT 77053 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.
Mammary Ductogram Or Galactogrm Sngle Duct Rdiological Superv, Mammary Ductogram Or Galactogram Single Duct Radiological Supervisio
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Breast, Mammography |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 26 - Professional component LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 77053 |
| Medicaid Fee Schedule | View Medicaid rates for 77053 |
National average reimbursement for CPT 77053 by major payers:
$75.05
$77.96
$68.59
$95.79
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CPT 77053
5 of 25 sample ratesHigher to lower in this preview
Timothy Raissian
Northern Arizona Healthcare Corporation
$127.80Published rateTracy Maceachern
Northern Arizona Healthcare Corporation
$127.80Published rateVu Huynh
Northern Arizona Healthcare Corporation
$97.19Published rateChristopher Mason
Northern Arizona Healthcare Corporation
$43.25Published rateJessica Courtney
Northern Arizona Healthcare Corporation
$20.25Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 77053 vs. Other Breast, Mammography Codes
The CPT 77053 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 77053 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 |
|---|---|---|
| 77049-CPT | Moderate | Mri Breast C W Cad Bi, Magnetic Resonance Imaging Breast Without And With Contrast Material S Including Computer Aided Detection Cad Real Time Lesion Detection Characterization And Pharmacokinetic Analysis When Performed Bilateral |
| 77053-CPT | Low | Mammary Ductogram Or Galactogrm Sngle Duct Rdiological Superv, Mammary Ductogram Or Galactogram Single Duct Radiological Supervisio |
| 77054-CPT | Low | Mammary Ductogram Or Galactogrm Multi Ducts Radiologi Superv, Mammary Ductogram Or Galactogram Multiple Ducts Radiological Supervi |
| 77061-CPT | Low | A 3d Mammogram, 3d Mammograms Use Low Dose X-Rays To Create A Three Dimensional Image Of One Or Both Breasts. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77053. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77053 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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