CPT 77063 Fee Schedule
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.
| 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 • TC - Technical component |
| Complexity Level | Low |
National average reimbursement for CPT 77063 by major payers:
$63.49
$66.15
$66.93
$88.36
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 77063 | ||||||
United | 77063 | $156.46 | 1508945007 - HELEN LAU | 943281657 | CA | Pediatric Nurse Practitioner (363LP0200X) |
United | 77063 | $28.15 | 1629056916 - PAUL SHERMAN | 610458376 - PIKEVILLE MEDICAL CENTER INC | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 77063 | $28.09 | 1316961105 - MICHAEL RHEE | 223618634 - PEACE HEALTH PARTNERS PC | NY | Diagnostic Radiology Physician (2085R0202X) |
United | 77063 | $32.45 | 1548224694 - SCOTT HANSEN | 943281657 | CA | Surgery Physician (208600000X) |
United | 77063 | $19.90 | 1275540098 - HOWARD ABRAMS | 330620911 - (CA) COR HEALTHCARE MEDICAL ASSOCIATES | CA | Cardiovascular Disease Physician (207RC0000X) |
United | 77063 | $51.77 | 1609160019 - DEREK CROUCH | 1609160019 | NV | Family Medicine Physician (207Q00000X) |
United | 77063 | $55.22 | 1760976955 - JEFFREY MACLEAN | 862189482 - (SC) LEXINGTON RADIOLOGY ASSOCIATES, LLC | OH | Diagnostic Radiology Physician (2085R0202X) |
United | 77063 | $51.61 | 1316179252 - JAMES LI | 943281657 | NY | Optometrist (152W00000X) |
United | 77063 | $58.29 | 1902338403 - ROBERT VANDERBERG | 43712605 - (LA) RED RIVER CONSULTANTS, INC., APMC | LA | Diagnostic Radiology Physician (2085R0202X) |
United | 77063 | $84.54 | 1154749323 - ALAN KWAN | 954457756 - (CA) CEDARS-SINAI MEDICAL CARE FOUNDATION | CA | Cardiovascular Disease Physician (207RC0000X) |
United | 77063 | $32.75 | 1982706974 - SUNIL GUJRATHI | 204820187 - (CA) LOS ALAMITOS RADIOLOGY GROUP, INC. | NV | Diagnostic Radiology Physician (2085R0202X) |
United | 77063 | $27.40 | 1669847307 - BRENNAN BARRETT | 364340137 - (IL) SAINT ANTHONY HEALTH AFFILIATES | FL | Diagnostic Radiology Physician (2085R0202X) |
United | 77063 | $27.78 | 1386938777 - JUSTIN MAXWELL | 200160881 - INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC | NV | Family Medicine Physician (207Q00000X) |
United | 77063 | $160.55 | 1205229747 - NICHOLAS XIAO | 411843943 - UNIVERSITY OF MINNESOTA PHYSICIANS | MN | Diagnostic Radiology Physician (2085R0202X) |
United | 77063 | $61.31 | 1508012634 - ANIL BHAVSAR | 370661183 - BLESSING HOSPITAL | CO | 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 |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 77063 vs. Other Breast, Mammography Codes
The CPT 77063 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 77063 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 |
|---|---|---|
| 76937-CPT | Low | Ultrasound Guidance For Vascular Access Requiring Ultrasound Evaluation For Potential Access Sites Documentation Of Selected Vessel Patency Concurrent Realtime Ultrasound Visualization Of Vascular Needle Entry With Permenant Recording And Reporting (List Separately In Addition To Code For Primary Procedure) |
| 77054-CPT | Low | Mammary Ductogram Or Galactogram Multiple Ducts Radiological Supervision And Interpretation |
| 77061-CPT | Low | Diagnostic Digital Breast Tomosynthesis; Unilateral (Desc Rvsd 1/1/19) |
| 77063-CPT | Low | 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 77063. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77063 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 77063) and we'll show you how you compare in 15 minutes or less.