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CPT code 77054: Ductography, mammary duct X-ray2026 Medicare rate & RVUs in Connecticut

Reports radiographic imaging of mammary ducts after contrast is introduced into a duct, commonly during evaluation of abnormal nipple discharge.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Connecticut, Medicare pays $73.08 for 77054 in the office.

$73.08Office (non-facility)
Not available in this settingHospital or facility
+6.7%vs the national office rate ($68.47)

Check a contract rate as a % of Medicare · 77054 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 77054 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 77054 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 77054 covers

This diagnostic breast study uses radiographic imaging to show mammary ducts after contrast is introduced through a nipple duct. It is most often performed by a radiologist in an imaging department when a patient has concerning nipple discharge and duct imaging is part of the evaluation. The images can help locate an abnormality within the ductal system for clinical assessment.

Report the code when the documented service is mammary duct X-ray imaging, rather than routine breast imaging alone. The record should support the clinical indication and the duct imaging performed, including the interpreting physician’s findings. CMS recognizes separately priced professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or no component modifier when billing the global service. The professional and technical services may be billed by different entities when each performs its respective portion.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Connecticut compares for 77054

Across 109 of 109 payment localities, the office rate for 77054 runs from $60.43 in Arkansas to $92.65 in San Benito County, CA. Connecticut pays $73.08. The RVUs are the same everywhere; the geographic indexes change the dollars.

77054 in Connecticut vs other payment areas
  1. Connecticut · this page$73.08
  2. Los Angeles, CA · California$78.22+$5.14
  3. Washington, DC area · District of Columbia$78.75+$5.67
  4. Miami, FL · Florida$72.66−$0.42
  5. Chicago, IL · Illinois$70.57−$2.51
  6. Manhattan, NY · New York$78.69+$5.61
  7. Alaska · Alaska$78.63+$5.55

Other areas in Connecticut first, then benchmark localities. Bars start at $0.

Every other payment area

77054 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$61.34—
ArkansasArkansas$60.43—
ArizonaArizona$66.65—
Bakersfield, CACalifornia$73.26—
Chico, CACalifornia$73.14—
El Centro, CACalifornia$73.14—
Fresno, CACalifornia$73.14—
Hanford, CACalifornia$73.14—

77054 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$60.43

$82.90

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
77054 office rate range by state
State / territoryOffice rate rangeLocalities
AK$78.631
AL$61.341
AR$60.431
AZ$66.651
CA$73.14–$92.6529
CO$71.711
CT$73.081
DC$78.751
DE$67.781
FL$66.84–$72.663
GA$63.06–$69.622
GU$75.091
HI$75.091
IA$63.211
ID$63.571
IL$64.66–$71.024
IN$63.961
KS$62.771
KY$62.541
LA$62.39–$65.562
MA$71.22–$79.102
MD$69.14–$78.753
ME$63.77–$67.512
MI$64.08–$67.552
MN$69.051
MO$61.20–$65.963
MS$60.831
MT$68.471
NC$64.481
ND$67.681
NE$63.601
NH$70.451
NJ$74.01–$77.882
NM$64.391
NV$68.301
NY$65.45–$80.475
OH$63.921
OK$62.561
OR$67.87–$74.192
PA$64.10–$71.142
PR$69.031
RI$70.341
SC$64.291
SD$67.581
TN$63.081
TX$63.66–$71.398
UT$65.191
VA$67.19–$78.752
VI$69.031
VT$67.291
WA$71.12–$80.872
WI$65.341
WV$62.181
WY$68.121

See 77054 in every payment locality

How the 77054 rate is calculated

Each of 77054’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 77054

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.44

0.44 RVUs× 1.000 GPCI

Practice expense1.57

1.57 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

2.0500

Conversion factor

$33.4009

Medicare rate

$68.47

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,964

Code
77054
Physician work
0.44
Practice expense
1.57
Malpractice
0.04

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 77054 in Connecticut
ComponentRVULocality factorAdjusted
Physician work0.44× 1.0200.4488
Practice expense1.57× 1.0771.6909
Malpractice0.04× 1.2100.0484
Total RVUs2.1881
Conversion factor× 33.4009

Office rate, Connecticut$73.08

Office: (0.44 × 1.02 + 1.57 × 1.077 + 0.04 × 1.21) × $33.4009 = $73.08

Open 77054 in the RVU calculator

Payment rules and modifiers for 77054

The CMS indicators that decide how 77054 is paid alongside other services.

CMS payment indicators · 77054

Ductography, mammary duct X-ray

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)9The concept doesn’t apply.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

77054 without 26 · national office

$68.47

Ductography, mammary duct X-ray

77054-26 · Professional component

$21.04

Pays only the interpretation and report.

When to use modifier 26

Codes related to 77054

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 77054
CodeHow it relatesOffice range, Connecticut
Same family
77053Mammary duct X-ray, unilateral ductogramRelated code for mammary duct X-ray imaging; distinguish using the full CPT descriptors.$56.66
Often billed with
77065Diagnostic mammogram, one breast, CAD includedUnilateral diagnostic mammography may be part of the same breast evaluation.$132.22
77066Diagnostic mammogram, bilateral, including CADBilateral diagnostic mammography may be part of the same breast evaluation.$167.56

How 77054 has changed in Connecticut

77054 · Office / nonfacility

$73.08

Effective 2026-10-01

The base rate is $0.57 higher than on 2025-10-01, moving from $72.51 to $73.08 (0.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $72.51changed to$73.08

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.45 changed to 0.44
    • Practice expense RVU 1.60 changed to 1.57
    • Malpractice RVU 0.03 changed to 0.04
    • Work GPCI 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $74.62changed to$72.51

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $73.40changed to$74.62

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $76.17changed to$73.40

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.59 changed to 1.60
    • Work GPCI 1.030 changed to 1.022
    • Practice expense GPCI 1.102 changed to 1.091
    • Malpractice GPCI 1.070 changed to 1.207

  5. January 1, 2023

    RVU23A

    $77.64changed to$76.17

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.57 changed to 1.59
    • Work GPCI 1.037 changed to 1.030
    • Practice expense GPCI 1.114 changed to 1.102
    • Malpractice GPCI 0.934 changed to 1.070

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $80.23changed to$77.64

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.62 changed to 1.57

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $81.76changed to$80.23

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.59 changed to 1.62
    • Work GPCI 1.029 changed to 1.037
    • Practice expense GPCI 1.113 changed to 1.114
    • Malpractice GPCI 1.094 changed to 0.934

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $83.69changed to$81.76

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.63 changed to 1.59
    • Malpractice RVU 0.04 changed to 0.03
    • Work GPCI 1.021 changed to 1.029
    • Practice expense GPCI 1.112 changed to 1.113
    • Malpractice GPCI 1.255 changed to 1.094

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $85.20changed to$83.69

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.67 changed to 1.63

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $86.46changed to$85.20

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.70 changed to 1.67
    • Work GPCI 1.023 changed to 1.021
    • Practice expense GPCI 1.117 changed to 1.112
    • Malpractice GPCI 1.244 changed to 1.255

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $85.29changed to$86.46

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.67 changed to 1.70
    • Work GPCI 1.024 changed to 1.023
    • Practice expense GPCI 1.121 changed to 1.117
    • Malpractice GPCI 1.232 changed to 1.244

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $84.79changed to$85.29

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.65 changed to 1.67

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $84.37changed to$84.79

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $89.44changed to$84.37

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.78 changed to 1.65
    • Practice expense GPCI 1.116 changed to 1.121
    • Malpractice GPCI 1.234 changed to 1.232

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $88.36changed to$89.44

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.88 changed to 1.78
    • Practice expense GPCI 1.110 changed to 1.116
    • Malpractice GPCI 1.235 changed to 1.234

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $88.36

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$73.08Not available in this settingRVU26D
2026-07-01$73.08Not available in this settingRVU26C
2026-04-01$73.08Not available in this settingRVU26B
2026-01-01$73.08Not available in this settingRVU26A
2025-10-01$72.51Not available in this settingRVU25D
2025-07-01$72.51Not available in this settingRVU25C
2025-04-01$72.51Not available in this settingRVU25B
2025-01-01$72.51Not available in this settingRVU25A
2024-10-01$74.62Not available in this settingRVU24D
2024-07-01$74.62Not available in this settingRVU24C
2024-04-01$74.62Not available in this settingRVU24B
2024-03-09$74.62Not available in this settingRVU24AR
2024-01-01$73.40Not available in this settingRVU24A
2023-10-01$76.17Not available in this settingRVU23D
2023-07-01$76.17Not available in this settingRVU23C
2023-04-01$76.17Not available in this settingRVU23B
2023-01-01$76.17Not available in this settingRVU23A
2022-10-01$77.64Not available in this settingRVU22D
2022-07-01$77.64Not available in this settingRVU22C
2022-04-01$77.64Not available in this settingRVU22B
2022-01-01$77.64Not available in this settingRVU22A
2021-10-01$80.23Not available in this settingRVU21D
2021-07-01$80.23Not available in this settingRVU21C
2021-04-01$80.23Not available in this settingRVU21B
2021-01-01$80.23Not available in this settingRVU21A
2020-10-01$81.76Not available in this settingRVU20D
2020-07-01$81.76Not available in this settingRVU20C
2020-04-01$81.76Not available in this settingRVU20B
2020-01-01$81.76Not available in this settingRVU20A
2019-10-01$83.69Not available in this settingRVU19D
2019-07-01$83.69Not available in this settingRVU19C
2019-04-01$83.69Not available in this settingRVU19B
2019-01-01$83.69Not available in this settingRVU19A
2018-10-01$85.20Not available in this settingRVU18D
2018-07-01$85.20Not available in this settingRVU18C
2018-04-01$85.20Not available in this settingRVU18B
2018-01-01$85.20Not available in this settingRVU18AR1
2017-10-01$86.46Not available in this settingRVU17D
2017-07-01$86.46Not available in this settingRVU17C
2017-04-01$86.46Not available in this settingRVU17B
2017-01-01$86.46Not available in this settingRVU17A
2016-10-01$85.29Not available in this settingRVU16D
2016-07-01$85.29Not available in this settingRVU16C
2016-04-01$85.29Not available in this settingRVU16B
2016-01-01$85.29Not available in this settingRVU16A
2015-10-01$84.79Not available in this settingRVU15D
2015-07-01$84.79Not available in this settingRVU15C
2015-04-01$84.37Not available in this settingRVU15B
2015-01-01$84.37Not available in this settingRVU15A
2014-10-01$89.44Not available in this settingRVU14D
2014-07-01$89.44Not available in this settingRVU14C
2014-04-01$89.44Not available in this settingRVU14B
2014-01-01$89.44Not available in this settingRVU14A
2013-10-01$88.36Not available in this settingRVU13D
2013-07-01$88.36Not available in this settingRVU13C
2013-04-01$88.36Not available in this settingRVU13B
2013-01-01$88.36Not available in this settingRVU13AR

Price 77054 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

77054 billing questions

When is ductography reported instead of diagnostic mammography?

Use this code for imaging of mammary ducts after contrast is introduced into a duct. Diagnostic mammography images breast tissue and is not a substitute for duct imaging.

Can the professional and technical portions be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the claim represents the global service.

What documentation supports this service?

Document the clinical reason for duct imaging, the duct study performed, and the radiologist’s interpretation. Abnormal nipple discharge is a common reason for this examination.

Is this code for a routine mammogram?

No. It describes radiographic imaging of mammary ducts, not standard screening or diagnostic mammography.

How should this code be distinguished from 77053?

Both codes concern mammary duct X-ray imaging. Check the full current CPT descriptors and the documented study details to select the applicable code.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 77054PPRRVU2026_Oct_nonQPP.csv, line 8,964 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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