Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 77062 Fee Schedule
CPT 77062 is classified under Radiology Procedures, in the Breast, Mammography subgroup.
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 | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 77062 |
| Medicaid Fee Schedule | $42.955 median of the 8 states in the free preview · View Medicaid rates for 77062 |
National average reimbursement for CPT 77062 by major payers:
$215.32
BCBS / Anthem
$183.07
UnitedHealthcare
$162.70
Aetna
$186.65
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 77062.
CPT 77062
5 of 25 sample ratesHigher to lower in this preview
Daria Motamedi
$1,190.69Published rateEdwin Yau
$287.26Published rateSumathi Wable
Peace Health Partners PC
$176.30Published rateKelly Ridges
Allergy & Asthma Of Dupage, S.C.
$62.78Published rateTiffany Witek
Northern Arizona Healthcare Corporation
$39.27Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 77062 vs. Other Breast, Mammography Codes
The table lists codes related to 77062. Select one to see its fee schedule.
| 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 77062. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77062 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 77062) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
A CPT (Current Procedural Terminology) code is a five-digit numerical code used by medical professionals to describe medical, surgical, and diagnostic services. These codes are essential for accurate billing and processing of healthcare claims by insurance companies, ensuring standardized communication about services rendered.
To find out the cost of a specific medical procedure or service, especially using a CPT code, you can utilize online tools designed for fee schedule lookups. For your specific situation and location, we recommend checking out Payerprice. They offer a fee schedule lookup tool where you can search with a CPT code and your specific location to get an estimated cost. It's also advisable to contact your insurance provider directly for information on your out-of-pocket costs based on your individual plan benefits and network agreements.
Healthcare costs can vary significantly due to a multitude of factors. These include the provider's geographic location, the type of facility (e.g., hospital vs. independent clinic), their negotiated rates with different insurance companies, the complexity of the service, the technology and equipment used, and overhead operating costs. Different providers also have varying internal charging structures. For precise cost estimates based on specific CPT codes and locations, tools like Payerprice can help you compare and understand the potential differences.
If you receive a medical bill that appears unexpectedly high or incorrect, the first step is to carefully review it for any errors and compare it against your Explanation of Benefits (EOB) from your insurance company. Contact your healthcare provider's billing department to request an itemized bill and discuss any discrepancies or questions you have. You can often negotiate the bill or inquire about payment plans. To understand typical costs for the services billed, using a tool like Payerprice with the relevant CPT codes for your location can provide valuable context for your discussions and negotiations.
These are key terms related to your health insurance out-of-pocket costs: * **Deductible:** This is the amount you must pay out-of-pocket for covered healthcare services before your insurance plan begins to pay its share. * **Copay (Copayment):** A fixed amount you pay for a covered healthcare service, typically at the time of service. For some plans, copays apply after you've met your deductible, while for others, they might apply before the deductible for certain services. * **Coinsurance:** This is your share of the cost of a covered healthcare service, calculated as a percentage (e.g., 20%) of the allowed amount for the service, which you pay after you've met your deductible. Understanding these terms is crucial for managing your healthcare expenses. For specific cost estimates related to procedures, you can often find valuable information on Payerprice using CPT codes.