How much does Medicare pay for CPT 77063?

Medicare allowed an average of $34.08 per service and paid $34.08 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $138.34, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 77063?

Screening 3d breast mammography. It was billed 5,781,922 times to 5,664,966 Medicare beneficiaries by 14,180 providers in 2024.

Does 77063 pay differently in an office than a hospital?

Yes. The allowed amount averaged $40.16 in an office setting and $27.39 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 77063 most?

Diagnostic Radiology, with 5,311,382 services from 10,014 clinicians. Next are Independent Diagnostic Testing Facility (IDTF), Obstetrics & Gynecology, Family Practice.

CPT 77063

Screening 3d breast mammography

$34.08Medicare-allowed amount per service, averaged across 5,781,922 services

Providers submitted

$138.34

Asking price, not received

Medicare allowed

$34.08

The fee schedule figure

Medicare paid

$34.08

Balance is patient coinsurance

Providers submitted an average of $138.34 for this code and Medicare allowed $34.08 — 4.1× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $34.08 (100%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $40.16
Hospital / facility: $27.39

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 3,033,230 services were billed in an office setting and 2,748,693 in a facility.

Services: 5,781,922
Beneficiaries: 5,664,966
Providers billing it: 14,180
Total allowed: $197,047,902

What Medicare pays for CPT 77063

Across 5,781,922 services billed by 14,180 providers to 5,664,966 beneficiaries, Medicare allowed an average of $34.08 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 77063

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	5,311,382	5,202,215	$33.99	10,014
Independent Diagnostic Testing Facility (IDTF)	154,666	153,962	$38.82	265
Obstetrics & Gynecology	104,411	99,938	$37.81	1,388
Family Practice	60,957	59,292	$29.55	1,118
Interventional Radiology	47,137	47,111	$33.29	143
Internal Medicine	44,299	44,100	$28.47	640
General Surgery	10,578	10,577	$29.39	34
Nurse Practitioner	10,000	9,764	$29.30	310
Mammography Center	9,829	9,829	$39.70	12
Radiation Oncology	5,024	5,022	$37.46	9
Emergency Medicine	4,711	4,632	$27.03	20
Nuclear Medicine	4,417	4,417	$44.03	11
Physician Assistant	4,255	4,028	$28.02	123
Pediatric Medicine	2,125	2,124	$32.42	11
Hematology-Oncology	1,278	1,278	$49.07	17

77063 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	474,365	$41.09	$37.22	981
Florida	363,958	$40.37	$40.63	880
Texas	346,308	$33.33	$33.73	801
New York	338,715	$40.00	$36.54	754
Pennsylvania	290,025	$30.05	$29.70	532
Illinois	245,754	$31.04	$30.30	516
North Carolina	231,132	$34.00	$35.13	645
Virginia	212,032	$31.11	$31.12	418
Massachusetts	198,324	$31.26	$29.53	379
Ohio	195,029	$28.83	$29.33	426
New Jersey	167,829	$43.46	$39.98	394
Georgia	147,919	$30.43	$31.07	489
Missouri	146,766	$29.20	$29.72	241
Michigan	140,113	$29.89	$29.73	386
Maryland	139,687	$43.47	$41.25	198
Washington	137,896	$36.31	$34.78	254
Minnesota	131,502	$32.77	$32.61	507
Tennessee	128,927	$31.41	$33.20	461
Indiana	122,705	$28.97	$29.86	260
Wisconsin	119,282	$30.31	$31.19	496
Arizona	114,349	$38.76	$39.26	189
South Carolina	111,393	$28.21	$29.40	197
Colorado	85,192	$37.35	$35.95	243
Iowa	80,934	$31.23	$32.66	193
Kansas	77,888	$30.53	$32.30	301
Louisiana	71,964	$29.96	$31.36	235
Kentucky	71,076	$28.45	$29.34	219
Alabama	70,604	$30.98	$32.99	304
Oklahoma	66,784	$27.84	$28.87	137
Oregon	63,085	$30.50	$30.49	201
Connecticut	62,812	$37.57	$35.34	205
Nebraska	60,533	$27.59	$29.08	212
Mississippi	59,955	$29.58	$31.74	170
Arkansas	55,848	$31.20	$33.49	119
Nevada	40,336	$40.90	$41.11	82
Rhode Island	34,704	$37.53	$35.69	47
New Hampshire	34,595	$31.46	$31.13	104
New Mexico	34,450	$36.23	$37.15	67
Delaware	31,895	$35.90	$35.52	35
North Dakota	31,772	$26.20	$26.47	78
Utah	29,762	$28.98	$29.97	129
District of Columbia	27,881	$39.72	$36.52	53
South Dakota	27,212	$31.25	$31.58	109
Idaho	27,178	$27.80	$28.96	83
Maine	25,672	$27.96	$27.40	134
West Virginia	24,689	$26.95	$27.67	97
Montana	19,839	$30.18	$30.58	42
Vermont	18,048	$27.15	$27.46	30
Hawaii	16,626	$38.83	$37.75	44
Alaska	13,503	$35.80	$29.93	54
Wyoming	11,011	$38.20	$40.12	40
AP	1,188	$41.06	$37.41	2
U.S. Virgin Islands	475	$44.45	$45.32	2
AA	174	$26.90	$27.37	1
Puerto Rico	135	$29.86	$29.56	3
Guam	93	$54.28	$50.65	1

Related codes

77067Screening mammography$65.10
77080Dxa bone density measurement of hip$21.30
77014Ct guidance for insertion of radiation therapy fields$70.52
77065Diagnostic mammography of 1 breast$64.22
77066Diagnostic mammography of both breasts$84.05
77002Fluoroscopic guidance for needle placement$90.55
77001Fluoroscopic guidance for insertion or removal of central vein access$21.63
77049Mri scan of both breasts$196.04
77081Dxa bone density measurement of forearm$19.89
77012Review by radiologist of ct guidance for needle placement$69.78
77085Dxa bone density measurement of hip$38.47
77092Interpretation of trabecular bone score (tbs) and report on fracture r$9.60

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.