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See a sample rate comparisonCPT 77065 Fee Schedule
Medicare rates as of October 2026
CPT 77065 is classified under Radiology Procedures, in the Breast, Mammography subgroup.
Mammogram To Aid Diagnosis, X-Ray Images Of Breast(S) Using Computer Assisted Detection System In Order To Facilitate Early Tumor Detection.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Breast, Mammography |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | 26 - Professional component LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | $123.92 national non-facility rate (2026) · View Medicare rates for 77065 |
| Medicaid Fee Schedule | $100.12 median of the 8 states in the free preview · View Medicaid rates for 77065 |
National average reimbursement for CPT 77065 by major payers:
$153.37
BCBS / Anthem
$159.56
UnitedHealthcare
$162.11
Aetna
$196.42
Cigna
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CPT 77065
5 of 25 sample ratesHigher to lower in this preview
Inland Imaging LLC
$422.91Published ratePaul Whaley
Anesthetics Of Worcester PC
$209.16Published rateOmar Usmani
Gila River Health Care Corporation
$161.67Published rateBradley Boyd
Town Center Orthopaedic Associates, P.C.
$120.03Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$48.43Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 77065 vs. Other Breast, Mammography Codes
The table lists codes related to 77065. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 76940-CPT | Moderate | Ultrasou Guid For & Mnitor Of Parenchymal Tissue Ablatio, Ultrasound Guidance For And Monitoring Of Parenchymal Tissue Ablatio |
| 77065-CPT | Low | Mammogram To Aid Diagnosis, X-Ray Images Of Breast(S) Using Computer Assisted Detection System In Order To Facilitate Early Tumor Detection. |
| 77066-CPT | Low | Mammogram To Aid Diagnosis, X-Ray Images Of Breast(S) Using Computer Assisted Detection System In Order To Facilitate Early Tumor Detection. |
| 77067-CPT | Low | Mammogram, Routine Screening Mammogram (Low-Dose Breast X-Ray) Of Both Breasts. Includes Computer-Assisted Interpretation Of The Images To Improve The Accuracy Of The Diagnosis. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77065. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77065 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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