How can I find out the cost of a specific medical procedure or service?

The cost of a medical procedure or service can vary significantly based on the provider, your location, and your specific insurance plan. For the most accurate estimate tailored to your situation, you can use Payerprice's fee schedule lookup tool. This tool allows you to search with a CPT code and your specific location to get detailed pricing information.

What is a CPT code and why is it important?

CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services they provide. They are crucial for consistent communication between providers, patients, and insurance companies, ensuring accurate billing and processing of claims.

How do I know if my insurance covers a particular medical service?

To determine if a specific medical service is covered by your insurance plan, the best course of action is to contact your insurance provider directly. You can typically find a member services phone number on the back of your insurance card. Be prepared to provide the CPT code for the service, if you have it, as this will help them identify the exact service and your coverage details.

What is the difference between a deductible, copay, and coinsurance?

These are common terms related to your health insurance costs: * **Deductible:** The amount you must pay out-of-pocket for covered healthcare services before your insurance plan starts to pay. * **Copay (Copayment):** A fixed amount you pay for a covered healthcare service after you've met your deductible. For example, you might pay $20 for a doctor's visit. * **Coinsurance:** Your share of the cost for a covered healthcare service, calculated as a percentage (e.g., 20%) of the allowed amount for the service after you've met your deductible.

Why do medical service prices vary so much?

Medical service prices can vary widely due to several factors, including the specific healthcare provider (e.g., hospital vs. independent clinic), geographic location, negotiated rates with different insurance companies, facility fees, and the complexity of the service. Tools like Payerprice aim to increase transparency by allowing users to compare prices for specific CPT codes and locations.

CPT 77061 Fee Schedule

Last Verified: August 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

National average reimbursement for CPT 77061 by major payers:

$192.13

$171.11

$144.88

$180.81

Preview provider-level rates for...

For billing codeCPT 77061

Payer	Code	Rate	NPI	Tax ID	State	Specialty
United	77061	$264.75	1689809246 - KHALED MALKAWI	900730387	CA	Diagnostic Radiology Physician (2085R0202X)
United	77061	$234.13	1578829503 - JOSEPH DELIC	300868541	PA	Diagnostic Radiology Physician (2085R0202X)
United	77061	$104.01	1861431876 - JOHN POHL	853238714 - (CA) VESTA TELEMEDICINE SOLUTIONS PC	TX	Diagnostic Radiology Physician (2085R0202X)
United	77061	$127.30	1558433870 - COURTNEY MITCHELL	208106540 - DISTRICT MEDICAL GROUP INC	AZ	Diagnostic Radiology Physician (2085R0202X)
United	77061	$78.91	1457326506 - STAND-UP MRI OF MELVILLE, PC	113082070 - (NY) STANDUP MRI OF MELVILLE PC	NY	Diagnostic Radiology Physician (2085R0202X)
United	77061	$187.55	1548218993 - ERNEST MCKENZIE	853953395 - (NY) SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRAC	OK	Diagnostic Radiology Physician (2085R0202X)
United	77061	$942.60	1023205879 - JARED NARVID	943281660	CA	Diagnostic Radiology Physician (2085R0202X)
United	77061	$225.80	1104273549 - SEAN FEINBERG	362671677 - (IL) CAMELOT RADIOLOGY ASSOCIATES, LTD. DBA NORTHERN ILLINOIS RADIOLOGY	MN	Diagnostic Radiology Physician (2085R0202X)
United	77061	$132.19	1831177476 - MICHELLE GINSBERG	593801080	NY	Diagnostic Radiology Physician (2085R0202X)
United	77061	$119.23	1639165954 - ROBERT MAXEY	862358048 - (IL) INSIGHT CHICAGO INC	TX	Diagnostic Radiology Physician (2085R0202X)
United	77061	$162.30	1841722303 - RICHARD LUSSIER	562084786	VA	Diagnostic Radiology Physician (2085R0202X)
United	77061	$205.28	1447230289 - RAVI GIYANANI	250815795 - GUTHRIE MEDICAL GROUP PC	MN	Diagnostic Radiology Physician (2085R0202X)
United	77061	$67.76	1629421748 - NAYANATARA SWAMY	364774713 - LSU HEALTH SCIENCES CENTER - SHREVEPORT FACULTY GROUP PRACTICE	LA	Diagnostic Radiology Physician (2085R0202X)
United	77061	$103.93	1760597611 - PAUL SICURO	910565539 - (WA) VIRGINIA MASON MEDICAL CENTER	WA	Diagnostic Radiology Physician (2085R0202X)
United	77061	$140.47	1316198252 - BHARATHI BATCHU	811200310 - (NJ) CAPITAL HEALTH MULTISPECIALTY GROUP	NJ	Diagnostic Radiology Physician (2085R0202X)
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist

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CPT 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
76936-CPT	Moderate	Echo Guide For Artery Repair, Ultrasound Guided Compression Repair Of Arterial Pseudoaneurysm Or Arteriovenous Fistulae (Includes Diagnostic Ultrasound Evaluation Compression Of Lesion And Imaging)
76999-CPT	High	Ultrasound Exam, Ultrasound Uses Sound Waves To Create A Video Image Of A Body Part. It Is Used As A Visual Guide During A Procedure As Well As To Assess Functions Such As Blood Flow In Real-Time.
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.

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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