How much does Medicare pay for CPT 77067?

Medicare allowed an average of $65.10 per service and paid $65.10 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $247.64, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 77067?

Screening mammography. It was billed 6,023,902 times to 5,899,399 Medicare beneficiaries by 14,871 providers in 2024.

Does 77067 pay differently in an office than a hospital?

Yes. The allowed amount averaged $92.54 in an office setting and $34.89 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 77067 most?

Diagnostic Radiology, with 5,528,612 services from 10,343 clinicians. Next are Independent Diagnostic Testing Facility (IDTF), Obstetrics & Gynecology, Family Practice.

CPT 77067

Screening mammography

$65.10Medicare-allowed amount per service, averaged across 6,023,902 services

Providers submitted

$247.64

Asking price, not received

Medicare allowed

$65.10

The fee schedule figure

Medicare paid

$65.10

Balance is patient coinsurance

Providers submitted an average of $247.64 for this code and Medicare allowed $65.10 — 3.8× 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 $65.10 (100%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $92.54
Hospital / facility: $34.89

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. 3,156,338 services were billed in an office setting and 2,867,564 in a facility.

Services: 6,023,902
Beneficiaries: 5,899,399
Providers billing it: 14,871
Total allowed: $392,156,020

What Medicare pays for CPT 77067

Across 6,023,902 services billed by 14,871 providers to 5,899,399 beneficiaries, Medicare allowed an average of $65.10 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 77067

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	5,528,612	5,412,118	$62.28	10,343
Independent Diagnostic Testing Facility (IDTF)	161,265	160,513	$107.94	308
Obstetrics & Gynecology	106,586	102,150	$102.15	1,425
Family Practice	66,221	64,437	$94.06	1,238
Interventional Radiology	48,758	48,727	$61.89	158
Internal Medicine	47,936	47,694	$92.17	718
General Surgery	11,415	11,415	$81.65	40
Nurse Practitioner	11,323	11,044	$90.59	339
Mammography Center	9,840	9,839	$109.22	12
Emergency Medicine	5,549	5,470	$79.57	21
Radiation Oncology	5,078	5,076	$74.81	9
Physician Assistant	4,953	4,729	$91.07	142
Nuclear Medicine	4,474	4,474	$98.46	11
Pediatric Medicine	2,438	2,437	$99.97	12
Hematology-Oncology	1,373	1,373	$118.98	19

77067 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	522,987	$86.62	$76.47	1,242
Florida	374,272	$85.99	$87.56	903
Texas	362,735	$61.00	$62.01	828
New York	357,618	$87.98	$79.13	787
Pennsylvania	295,050	$47.55	$46.76	542
Illinois	252,275	$50.98	$49.80	527
North Carolina	236,376	$68.01	$71.03	649
Virginia	220,787	$56.43	$56.27	436
Massachusetts	208,116	$53.64	$50.09	384
Ohio	204,252	$43.34	$44.16	433
New Jersey	169,142	$96.14	$86.83	405
Georgia	153,483	$51.53	$53.10	496
Missouri	152,829	$45.45	$46.49	244
Michigan	150,278	$45.80	$45.76	390
Washington	144,802	$70.44	$67.11	255
Tennessee	141,945	$57.31	$61.58	484
Maryland	141,706	$104.58	$98.12	218
Minnesota	139,004	$62.60	$61.94	543
Indiana	124,771	$47.20	$49.01	262
Wisconsin	121,561	$55.24	$57.04	505
Arizona	116,129	$90.81	$92.37	191
South Carolina	115,915	$46.26	$48.77	201
Colorado	86,914	$74.62	$70.71	249
Iowa	82,061	$60.94	$64.68	194
Kansas	78,549	$60.07	$64.61	301
Louisiana	74,232	$48.31	$51.45	239
Kentucky	74,029	$45.28	$47.44	226
Alabama	73,401	$55.38	$60.42	330
Oklahoma	71,276	$40.98	$42.99	147
Oregon	64,995	$58.83	$59.01	208
Connecticut	64,634	$73.84	$68.39	208
Nebraska	62,313	$48.54	$51.68	217
Mississippi	61,596	$54.41	$60.05	179
Arkansas	59,041	$53.67	$58.79	132
Nevada	41,254	$88.16	$88.51	87
Rhode Island	35,105	$76.04	$72.11	47
New Mexico	34,917	$73.21	$76.45	70
New Hampshire	34,639	$50.26	$49.66	104
North Dakota	32,179	$47.23	$47.44	78
Delaware	32,029	$76.50	$75.73	36
Utah	30,626	$46.88	$48.86	134
South Dakota	28,748	$59.53	$59.70	112
District of Columbia	28,270	$83.14	$74.65	54
Idaho	27,686	$45.32	$47.76	83
West Virginia	26,547	$39.58	$41.63	102
Maine	26,417	$41.23	$40.30	135
Montana	20,023	$50.04	$50.35	43
Vermont	18,075	$34.95	$35.33	30
Hawaii	18,030	$78.06	$74.37	46
Alaska	13,754	$81.95	$71.96	54
Wyoming	11,594	$79.49	$83.98	40
Puerto Rico	1,616	$96.47	$96.87	46
AP	1,183	$81.91	$73.38	2
Guam	1,096	$99.19	$88.73	10
U.S. Virgin Islands	546	$105.01	$106.74	2
AA	494	$34.75	$34.90	1

Related codes

77063Screening 3d breast mammography$34.08
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.