CPT code 77066: Diagnostic mammogram, bilateral, including CAD2026 Medicare rate & RVUs in Connecticut

Reports diagnostic mammographic imaging of both breasts, including computer-aided detection when performed, for symptoms or evaluation of a breast finding.

CMS RVU26DEffective Oct 1, 2026One payment locality559.8K Medicare services in 2024

In Connecticut, Medicare pays $167.56 for 77066 in the office.

$167.56Office (non-facility)
Not available in this settingHospital or facility
+6.7%vs the national office rate ($156.98)

Check a contract rate as a % of Medicare · 77066 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 77066 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 77066 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 77066 covers

This service covers diagnostic mammographic imaging of both breasts, with computer-aided detection included when performed. It is commonly used to evaluate symptoms such as a palpable breast lump or nipple discharge, investigate a finding on a screening study, or assess a known breast abnormality. A radiologist interprets the images, typically in a breast imaging department, hospital, or outpatient imaging center.

Select this code when the diagnostic examination includes both breasts; use the unilateral code when only one breast is examined. The report should support the diagnostic reason and identify the bilateral study and its interpretation. CMS recognizes separately priced professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and no modifier represents the global service. The code is already priced bilaterally, so modifier 50 does not increase payment.

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 77066

Across 109 of 109 payment localities, the office rate for 77066 runs from $138.55 in Arkansas to $213.08 in San Benito County, CA. Connecticut pays $167.56. The RVUs are the same everywhere; the geographic indexes change the dollars.

77066 in Connecticut vs other payment areas
  1. Connecticut · this page$167.56
  2. Los Angeles, CA · California$179.68+$12.12
  3. Washington, DC area · District of Columbia$180.69+$13.13
  4. Miami, FL · Florida$166.05−$1.51
  5. Chicago, IL · Illinois$161.28−$6.28
  6. Manhattan, NY · New York$180.34+$12.78
  7. Alaska · Alaska$180.05+$12.49

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

Every other payment area

77066 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$140.63—
ArkansasArkansas$138.55—
ArizonaArizona$152.83—
Bakersfield, CACalifornia$168.23—
Chico, CACalifornia$167.97—
El Centro, CACalifornia$167.99—
Fresno, CACalifornia$167.97—
Hanford, CACalifornia$167.97—

77066 rates by state

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

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.

$138.55

$190.53

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

View every state and territory as a table
77066 office rate range by state
State / territoryOffice rate rangeLocalities
AK$180.051
AL$140.631
AR$138.551
AZ$152.831
CA$167.97–$213.0829
CO$164.571
CT$167.561
DC$180.691
DE$155.421
FL$152.98–$166.053
GA$144.37–$159.562
GU$172.521
HI$172.521
IA$145.041
ID$145.851
IL$147.91–$162.564
IN$146.741
KS$143.991
KY$143.261
LA$142.89–$150.172
MA$163.41–$181.622
MD$158.55–$180.693
ME$146.25–$154.902
MI$146.75–$154.562
MN$158.631
MO$140.14–$151.153
MS$139.391
MT$156.981
NC$147.871
ND$155.401
NE$145.961
NH$161.631
NJ$169.74–$178.682
NM$147.431
NV$156.661
NY$150.11–$184.355
OH$146.431
OK$143.381
OR$155.70–$170.322
PA$146.87–$163.072
PR$158.281
RI$161.331
SC$147.341
SD$155.211
TN$144.681
TX$145.85–$163.808
UT$149.421
VA$154.13–$180.692
VI$158.281
VT$154.451
WA$163.21–$185.732
WI$150.031
WV$142.211
WY$156.291

See 77066 in every payment locality

How the 77066 rate is calculated

Each of 77066’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 · 77066

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.98

0.98 RVUs× 1.000 GPCI

Practice expense3.64

3.64 RVUs× 1.000 GPCI

Malpractice0.08

0.08 RVUs× 1.000 GPCI

Adjusted RVUs

4.7000

Conversion factor

$33.4009

Medicare rate

$156.98

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

8,979

Code
77066
Physician work
0.98
Practice expense
3.64
Malpractice
0.08

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 77066 in Connecticut
ComponentRVULocality factorAdjusted
Physician work0.98× 1.0200.9996
Practice expense3.64× 1.0773.9203
Malpractice0.08× 1.2100.0968
Total RVUs5.0167
Conversion factor× 33.4009

Office rate, Connecticut$167.56

Office: (0.98 × 1.02 + 3.64 × 1.077 + 0.08 × 1.21) × $33.4009 = $167.56

Open 77066 in the RVU calculator

Payment rules and modifiers for 77066

The CMS indicators that decide how 77066 is paid alongside other services.

CMS payment indicators · 77066

Diagnostic mammogram, bilateral, including CAD

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
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

77066 without 26 · national office

$156.98

Diagnostic mammogram, bilateral, including CAD

77066-26 · Professional component

$46.43

Pays only the interpretation and report.

When to use modifier 26

How 77066 has changed in Connecticut

77066 · Office / nonfacility

$167.56

Effective 2026-10-01

The base rate is $1.94 higher than on 2025-10-01, moving from $165.62 to $167.56 (1.2%).

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

    $165.62changed to$167.56

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.00 changed to 0.98
    • Practice expense RVU 3.69 changed to 3.64
    • Malpractice RVU 0.06 changed to 0.08
    • 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

    $170.84changed to$165.62

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.07 changed to 0.06

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $168.05changed to$170.84

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $174.52changed to$168.05

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.05 changed to 0.07
    • 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

    $180.08changed to$174.52

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.06 changed to 0.05
    • 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

    $181.96changed to$180.08

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.70 changed to 3.69

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $188.13changed to$181.96

    • Conversion factor 36.0896 changed to 34.8931
    • 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

    $188.24changed to$188.13

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.07 changed to 0.06
    • 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

    $190.84changed to$188.24

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.77 changed to 3.70

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    No ratechanged to$190.84

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged toNo rate

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$167.56Not available in this settingRVU26D
2026-07-01$167.56Not available in this settingRVU26C
2026-04-01$167.56Not available in this settingRVU26B
2026-01-01$167.56Not available in this settingRVU26A
2025-10-01$165.62Not available in this settingRVU25D
2025-07-01$165.62Not available in this settingRVU25C
2025-04-01$165.62Not available in this settingRVU25B
2025-01-01$165.62Not available in this settingRVU25A
2024-10-01$170.84Not available in this settingRVU24D
2024-07-01$170.84Not available in this settingRVU24C
2024-04-01$170.84Not available in this settingRVU24B
2024-03-09$170.84Not available in this settingRVU24AR
2024-01-01$168.05Not available in this settingRVU24A
2023-10-01$174.52Not available in this settingRVU23D
2023-07-01$174.52Not available in this settingRVU23C
2023-04-01$174.52Not available in this settingRVU23B
2023-01-01$174.52Not available in this settingRVU23A
2022-10-01$180.08Not available in this settingRVU22D
2022-07-01$180.08Not available in this settingRVU22C
2022-04-01$180.08Not available in this settingRVU22B
2022-01-01$180.08Not available in this settingRVU22A
2021-10-01$181.96Not available in this settingRVU21D
2021-07-01$181.96Not available in this settingRVU21C
2021-04-01$181.96Not available in this settingRVU21B
2021-01-01$181.96Not available in this settingRVU21A
2020-10-01$188.13Not available in this settingRVU20D
2020-07-01$188.13Not available in this settingRVU20C
2020-04-01$188.13Not available in this settingRVU20B
2020-01-01$188.13Not available in this settingRVU20A
2019-10-01$188.24Not available in this settingRVU19D
2019-07-01$188.24Not available in this settingRVU19C
2019-04-01$188.24Not available in this settingRVU19B
2019-01-01$188.24Not available in this settingRVU19A
2018-10-01$190.84Not available in this settingRVU18D
2018-07-01$190.84Not available in this settingRVU18C
2018-04-01$190.84Not available in this settingRVU18B
2018-01-01$190.84Not available in this settingRVU18AR1
2017-10-01Separate payment rules applySeparate payment rules applyRVU17D
2017-07-01Separate payment rules applySeparate payment rules applyRVU17C
2017-04-01Separate payment rules applySeparate payment rules applyRVU17B
2017-01-01Separate payment rules applySeparate payment rules applyRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 77066 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

77066 billing questions

When should I report this instead of the unilateral diagnostic mammogram?

Report this code when the diagnostic mammographic examination covers both breasts. Use the unilateral code when the examination covers one breast.

Is computer-aided detection billed separately?

No. CAD is included in this diagnostic mammography code when performed.

Should modifier 50 be appended?

No. The code is already priced as bilateral, and modifier 50 does not increase payment.

When are modifiers 26 and TC appropriate?

Use modifier 26 for the professional interpretation and modifier TC for the technical service, including equipment and staff. Without either modifier, the claim represents the global service.

Can bilateral diagnostic tomosynthesis be reported with this code?

When bilateral diagnostic breast tomosynthesis is also performed, code 77062 may be reported for that service alongside the diagnostic mammography.

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 77066PPRRVU2026_Oct_nonQPP.csv, line 8,979 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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