FeeBase
Log inGet started
Menu

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

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 Washington, DC area, Medicare pays $78.75 for 77054 in the office.

$78.75Office (non-facility)
Not available in this settingHospital or facility
+15.0%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 Washington, DC area
  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 Washington, DC area 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. Washington, DC area pays $78.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

77054 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$78.75
  2. Los Angeles, CA · California$78.22−$0.53
  3. Miami, FL · Florida$72.66−$6.09
  4. Chicago, IL · Illinois$70.57−$8.18
  5. Manhattan, NY · New York$78.69−$0.06
  6. Alaska · Alaska$78.63−$0.12
  7. Alabama · Alabama$61.34−$17.41

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

77054 in every other Medicare payment locality
Payment localityOfficeFacility
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—
Madera, 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 Washington, DC area 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

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 77054 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work0.44× 1.0540.4638
Practice expense1.57× 1.1781.8495
Malpractice0.04× 1.1130.0445
Total RVUs2.3577
Conversion factor× 33.4009

Office rate, Washington, DC area$78.75

Office: (0.44 × 1.054 + 1.57 × 1.178 + 0.04 × 1.113) × $33.4009 = $78.75

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, Washington, DC area
Same family
77053Mammary duct X-ray, unilateral ductogramRelated code for mammary duct X-ray imaging; distinguish using the full CPT descriptors.$61.05
Often billed with
77065Diagnostic mammogram, one breast, CAD includedUnilateral diagnostic mammography may be part of the same breast evaluation.$142.57
77066Diagnostic mammogram, bilateral, including CADBilateral diagnostic mammography may be part of the same breast evaluation.$180.69

How 77054 has changed in Washington, DC area

77054 · Office / nonfacility

$78.75

Effective 2026-10-01

The base rate is $0.54 higher than on 2025-10-01, moving from $78.21 to $78.75 (0.7%).

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

    $78.21changed to$78.75

    • 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 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $80.49changed to$78.21

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $79.17changed to$80.49

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $82.77changed to$79.17

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.59 changed to 1.60
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $84.91changed to$82.77

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.57 changed to 1.59
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $87.77changed to$84.91

    • 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

    $88.48changed to$87.77

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.59 changed to 1.62
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $89.55changed to$88.48

    • 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 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $91.19changed to$89.55

    • 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

    $92.27changed to$91.19

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.70 changed to 1.67
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $90.82changed to$92.27

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.67 changed to 1.70
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $90.28changed to$90.82

    • 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

    $89.83changed to$90.28

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $95.30changed to$89.83

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.78 changed to 1.65
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $94.23changed to$95.30

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.88 changed to 1.78
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $94.23

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$78.75Not available in this settingRVU26D
2026-07-01$78.75Not available in this settingRVU26C
2026-04-01$78.75Not available in this settingRVU26B
2026-01-01$78.75Not available in this settingRVU26A
2025-10-01$78.21Not available in this settingRVU25D
2025-07-01$78.21Not available in this settingRVU25C
2025-04-01$78.21Not available in this settingRVU25B
2025-01-01$78.21Not available in this settingRVU25A
2024-10-01$80.49Not available in this settingRVU24D
2024-07-01$80.49Not available in this settingRVU24C
2024-04-01$80.49Not available in this settingRVU24B
2024-03-09$80.49Not available in this settingRVU24AR
2024-01-01$79.17Not available in this settingRVU24A
2023-10-01$82.77Not available in this settingRVU23D
2023-07-01$82.77Not available in this settingRVU23C
2023-04-01$82.77Not available in this settingRVU23B
2023-01-01$82.77Not available in this settingRVU23A
2022-10-01$84.91Not available in this settingRVU22D
2022-07-01$84.91Not available in this settingRVU22C
2022-04-01$84.91Not available in this settingRVU22B
2022-01-01$84.91Not available in this settingRVU22A
2021-10-01$87.77Not available in this settingRVU21D
2021-07-01$87.77Not available in this settingRVU21C
2021-04-01$87.77Not available in this settingRVU21B
2021-01-01$87.77Not available in this settingRVU21A
2020-10-01$88.48Not available in this settingRVU20D
2020-07-01$88.48Not available in this settingRVU20C
2020-04-01$88.48Not available in this settingRVU20B
2020-01-01$88.48Not available in this settingRVU20A
2019-10-01$89.55Not available in this settingRVU19D
2019-07-01$89.55Not available in this settingRVU19C
2019-04-01$89.55Not available in this settingRVU19B
2019-01-01$89.55Not available in this settingRVU19A
2018-10-01$91.19Not available in this settingRVU18D
2018-07-01$91.19Not available in this settingRVU18C
2018-04-01$91.19Not available in this settingRVU18B
2018-01-01$91.19Not available in this settingRVU18AR1
2017-10-01$92.27Not available in this settingRVU17D
2017-07-01$92.27Not available in this settingRVU17C
2017-04-01$92.27Not available in this settingRVU17B
2017-01-01$92.27Not available in this settingRVU17A
2016-10-01$90.82Not available in this settingRVU16D
2016-07-01$90.82Not available in this settingRVU16C
2016-04-01$90.82Not available in this settingRVU16B
2016-01-01$90.82Not available in this settingRVU16A
2015-10-01$90.28Not available in this settingRVU15D
2015-07-01$90.28Not available in this settingRVU15C
2015-04-01$89.83Not available in this settingRVU15B
2015-01-01$89.83Not available in this settingRVU15A
2014-10-01$95.30Not available in this settingRVU14D
2014-07-01$95.30Not available in this settingRVU14C
2014-04-01$95.30Not available in this settingRVU14B
2014-01-01$95.30Not available in this settingRVU14A
2013-10-01$94.23Not available in this settingRVU13D
2013-07-01$94.23Not available in this settingRVU13C
2013-04-01$94.23Not available in this settingRVU13B
2013-01-01$94.23Not available in this settingRVU13AR

Price 77054 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

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 Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 77054 pays in Washington, DC area?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 77054 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist