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See a sample rate comparisonCPT 77066 Fee Schedule
Medicare rates as of October 2026
CPT 77066 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 | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $156.98 national non-facility rate (2026) · View Medicare rates for 77066 |
| Medicaid Fee Schedule | $126.605 median of the 8 states in the free preview · View Medicaid rates for 77066 |
National average reimbursement for CPT 77066 by major payers:
$187.57
BCBS / Anthem
$201.63
UnitedHealthcare
$204.83
Aetna
$246.00
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 77066.
CPT 77066
5 of 25 sample ratesHigher to lower in this preview
Michael Penney
Radiology Associates Of North Texas, P.A.
$430.39Published ratePulin Patel
Radiology Associates Of North Texas, PA
$305.88Published rateMichael Glass
Radiology And Nuclear Medicine, LLC
$204.91Published rateLuigino Bernabela
$153.91Published rateAvra Louis
$65.44Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 77066 vs. Other Breast, Mammography Codes
The table lists codes related to 77066. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 77063-CPT | Low | Screening Digital Breast Tomos, Screening Digital Breast Tomosynthesis Bilateral (List Separately In Addition To Code For Primary Procedure) |
| 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 77066. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77066 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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Frequently Asked Questions
A CPT (Current Procedural Terminology) code is a five-digit numerical code used by healthcare providers to describe medical, surgical, and diagnostic services. These codes are crucial for billing and reimbursement, as they standardize the reporting of medical services. When you know the CPT code for a service, it helps you research and understand the potential cost of that service more accurately.
To find out the cost of a medical procedure or service, you can start by asking your healthcare provider for an estimate. It's also highly recommended to use a fee schedule lookup tool. For a comprehensive and specific search, you can utilize resources like Payerprice, which allows you to search for costs based on CPT code and your specific location.
Payerprice is a platform designed to help users understand healthcare costs. It offers a fee schedule lookup tool that allows individuals to search for the prices of medical services based on CPT codes and specific geographical locations, empowering them to make more informed healthcare decisions.
Payerprice helps you find healthcare costs through its fee schedule lookup tool. By entering a CPT code for a specific medical service and your location, the tool provides information on the typical fees associated with that service in your area, helping you to compare prices and plan for expenses.
Healthcare costs can vary significantly by location due to several factors, including the cost of living, local market competition among providers, the density of healthcare facilities, regional labor costs for medical professionals, and state-specific regulations or insurance market dynamics. These factors collectively influence the pricing structures for medical services in different areas.
While government agencies like CMS (Centers for Medicare & Medicaid Services) publish fee schedules for their specific programs (like Medicare), these are not always reflective of the prices charged by private payers or for individuals without Medicare coverage. For a broader and more specific search tailored to your situation, including CPT codes and specific locations, it's recommended to use tools like Payerprice, which offers a comprehensive fee schedule lookup.
To effectively use Payerprice's fee schedule lookup tool, you typically need the CPT code for the medical procedure or service you are interested in. You will also need to provide your specific location (e.g., zip code or city and state) to get pricing information relevant to your area.