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See a sample rate comparisonCPT 77061 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.
A 3d Mammogram, 3d Mammograms Use Low Dose X-Rays To Create A Three Dimensional Image Of One Or Both Breasts.
| 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 77061 |
| Medicaid Fee Schedule | View Medicaid rates for 77061 |
National average reimbursement for CPT 77061 by major payers:
$192.13
$171.11
$144.88
$180.81
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CPT 77061
5 of 25 sample ratesHigher to lower in this preview
Jared Narvid
$942.60Published rateRavi Giyanani
Guthrie Medical Group PC
$205.28Published rateMichelle Ginsberg
$132.19Published rateNicholas Ferguson
Usc Care Medical Group Inc
$98.83Published rateBrett Travis
Richland Parish Hospital
$39.70Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 77061 vs. Other Breast, Mammography Codes
The CPT 77061 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 77061 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 |
|---|---|---|
| 77053-CPT | Low | Mammary Ductogram Or Galactogrm Sngle Duct Rdiological Superv, Mammary Ductogram Or Galactogram Single Duct Radiological Supervisio |
| 77061-CPT | Low | A 3d Mammogram, 3d Mammograms Use Low Dose X-Rays To Create A Three Dimensional Image Of One Or Both Breasts. |
| 77062-CPT | Moderate | A 3d Mammogram, 3d Mammograms Use Low Dose X-Rays To Create A Three Dimensional Image Of One Or Both Breasts. |
| 77063-CPT | Low | Screening Digital Breast Tomos, Screening Digital Breast Tomosynthesis Bilateral (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77061. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77061 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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