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See a sample rate comparisonCPT 77067 Fee Schedule
Last Verified: September 2026
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.
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 | None 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 77067 |
| Medicaid Fee Schedule | View Medicaid rates for 77067 |
National average reimbursement for CPT 77067 by major payers:
$148.78
$163.13
$165.94
$200.63
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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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See a sample payer proposalCPT 77067 vs. Other Breast, Mammography Codes
The CPT 77067 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 77067 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 |
|---|---|---|
| 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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