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 77063 Fee Schedule
Medicare rates as of October 2026
CPT 77063 is classified under Radiology Procedures, in the Breast, Mammography subgroup.
Screening Digital Breast Tomos, Screening Digital Breast Tomosynthesis Bilateral (List Separately In Addition To Code For Primary Procedure)
| 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 | Low |
| Medicare Fee Schedule | $51.10 national non-facility rate (2026) · View Medicare rates for 77063 |
| Medicaid Fee Schedule | $42.785 median of the 8 states in the free preview · View Medicaid rates for 77063 |
National average reimbursement for CPT 77063 by major payers:
$63.49
BCBS / Anthem
$66.15
UnitedHealthcare
$66.93
Aetna
$86.18
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 77063.
CPT 77063
5 of 25 sample ratesHigher to lower in this preview
Valerie Flaherman
$288.70Published rateErica Pollack
University Physicians Incorporated
$96.69Published rateTrever Bivona
$67.25Published rateKimberlee Hashiba
Queens University Medical Group
$41.04Published rateEduardo Pascual Van Sant
New York City Health And Hospitals Corporation
$20.80Published 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 77063 vs. Other Breast, Mammography Codes
The table lists codes related to 77063. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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. |
| 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 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.
FREE SAMPLE MARKET COMPARISON
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.
Frequently Asked Questions
To find the cost of a specific medical procedure, it's highly recommended to use a tool that provides detailed fee schedules based on CPT codes and your specific location. You can utilize Payerprice's fee schedule lookup tool for this purpose, as it allows you to search with CPT codes and specific geographical areas.
CPT stands for Current Procedural Terminology. CPT codes are a set of standardized five-digit codes published by the American Medical Association (AMA) that describe medical, surgical, and diagnostic services and procedures performed by physicians and other healthcare providers. They are crucial for consistent billing and reporting of medical services.
Insurance plays a significant role in determining your out-of-pocket medical costs. Your insurance plan will typically cover a portion of the total cost after you meet your deductible, and you may still be responsible for co-payments or co-insurance. The exact amount depends on your specific plan's benefits, whether the provider is in-network, and the type of service. Always check with your insurance provider for specific coverage details related to your plan.
Medical costs can vary significantly due to multiple factors, including the specific healthcare provider or facility, geographic location, negotiated rates with different insurance companies, the complexity of the procedure, and whether the service is performed in an outpatient clinic versus a hospital. Different healthcare systems and regions have diverse pricing structures.
To find fee schedules for medical services, especially based on specific CPT codes and your particular location, you should use specialized lookup tools. Payerprice offers a fee schedule lookup tool that enables users to search for pricing information using CPT codes and specific geographical locations, providing relevant cost data for your needs.