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See a sample rate comparisonCPT 77067 Fee Schedule
Medicare rates as of October 2026
CPT 77067 is classified under Radiology Procedures, in the Breast, Mammography subgroup.
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.
| 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 | $126.26 national non-facility rate (2026) · View Medicare rates for 77067 |
| Medicaid Fee Schedule | $102.225 median of the 8 states in the free preview · View Medicaid rates for 77067 |
National average reimbursement for CPT 77067 by major payers:
$148.78
BCBS / Anthem
$163.13
UnitedHealthcare
$165.94
Aetna
$200.63
Cigna
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CPT 77067
5 of 25 sample ratesHigher to lower in this preview
Jimmy Koo
Caremount Medical, P.C.
$530.22Published rateJonathan Hester
Emory University
$358.89Published ratePhilip Chui
Hartford Healthcare Medical Group Specialists PLLC
$241.53Published rateSteven Small
Caremount Medical PC
$144.38Published rateSamuel Rotenberg
All Care Medical Group Inc
$43.27Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 77067 vs. Other Breast, Mammography Codes
The table lists codes related to 77067. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 77049-CPT | Moderate | Mri Breast C W Cad Bi, Magnetic Resonance Imaging Breast Without And With Contrast Material S Including Computer Aided Detection Cad Real Time Lesion Detection Characterization And Pharmacokinetic Analysis When Performed Bilateral |
| 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 77067. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77067 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 report medical, surgical, and diagnostic services to entities such as physicians, health insurance companies, and accreditation organizations. These codes are essential for accurate billing and record-keeping across the healthcare industry.
Finding the exact cost of a medical procedure can be challenging due to variations based on location, provider, and your specific insurance plan. For specific pricing information, you can use tools like Payerprice, which offers 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 recommended to contact your insurance provider and the healthcare facility directly for the most accurate quote for your situation.
Medical costs vary significantly due to several factors, including the type of facility (e.g., hospital vs. outpatient clinic), geographic location, the specific provider's negotiated rates with different insurance companies, the complexity of the procedure, and whether you have insurance or are paying out-of-pocket. These variations highlight the importance of researching costs beforehand.
If you receive a surprisingly high medical bill, first, carefully review the bill for errors and compare it with any Explanation of Benefits (EOB) from your insurance company. Contact the billing department of the healthcare provider to request an itemized bill and ask for clarification on any charges you don't understand. You can also try to negotiate the price, especially if you are paying out-of-pocket, or inquire about financial assistance programs. For future planning, consider using tools like Payerprice to research typical costs beforehand.
To compare prices for healthcare services in your area, you should utilize resources designed for price transparency. Payerprice offers a fee schedule lookup tool that allows you to search for services using CPT codes and your specific location, providing valuable comparative pricing information. Additionally, you can contact different healthcare providers and your insurance company directly to inquire about their charges for specific procedures.