CPT code 77067: Screening mammogram, bilateral, CAD included2026 Medicare rate & RVUs in Kansas

Bilateral screening mammography evaluates an asymptomatic patient for breast cancer and includes computer-aided detection when performed; report it for screening rather than symptom evaluation.

CMS RVU26DEffective Oct 1, 2026One payment locality6.1M Medicare services in 2024

In Kansas, Medicare pays $115.84 for 77067 in the office.

$115.84Office (non-facility)
Not available in this settingHospital or facility
−8.3%vs the national office rate ($126.26)

Check a contract rate as a % of Medicare · 77067 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 77067 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Kansas
  2. What 77067 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 77067 covers

This service is a bilateral screening mammogram, typically with craniocaudal and mediolateral oblique views of each breast, for a patient without breast symptoms. A mammography technologist acquires the images in a hospital outpatient department, imaging center, or mobile unit. A radiologist interprets them and typically documents a BI-RADS assessment. Computer-aided detection software, when used to flag areas for review, is included rather than billed separately.

Report 77067 for a screening examination, typically with a screening diagnosis such as Z12.31. A breast lump, nipple discharge, or abnormal finding that needs evaluation instead calls for diagnostic mammography, using 77065 or 77066 according to the breasts examined. The screening order, bilateral images, and interpretation support the claim. Under the physician fee schedule, modifier TC identifies the equipment and staff portion, while modifier 26 identifies the radiologist's interpretation; billing without either modifier represents both components. The code is already priced for both breasts, so modifier 50 does not increase Medicare payment. Screening tomosynthesis performed with this examination is reported with add-on code 77063.

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 Kansas compares for 77067

Across 109 of 109 payment localities, the office rate for 77067 runs from $111.36 in Arkansas to $172.34 in San Benito County, CA. Kansas pays $115.84. The RVUs are the same everywhere; the geographic indexes change the dollars.

77067 in Kansas vs other payment areas
  1. Kansas · this page$115.84
  2. Los Angeles, CA · California$144.98+$29.14
  3. Washington, DC area · District of Columbia$145.56+$29.72
  4. Miami, FL · Florida$132.90+$17.06
  5. Chicago, IL · Illinois$129.09+$13.25
  6. Manhattan, NY · New York$144.99+$29.15
  7. Alaska · Alaska$144.36+$28.52

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

Every other payment area

77067 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$113.05—
ArkansasArkansas$111.36—
ArizonaArizona$122.92—
Bakersfield, CACalifornia$135.66—
Chico, CACalifornia$135.49—
El Centro, CACalifornia$135.50—
Fresno, CACalifornia$135.49—
Hanford, CACalifornia$135.49—

77067 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.

$111.36

$153.92

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

View every state and territory as a table
77067 office rate range by state
State / territoryOffice rate rangeLocalities
AK$144.361
AL$113.051
AR$111.361
AZ$122.921
CA$135.49–$172.3429
CO$132.581
CT$134.791
DC$145.561
DE$125.011
FL$122.70–$132.903
GA$115.79–$128.262
GU$139.231
HI$139.231
IA$116.761
ID$117.391
IL$118.51–$130.414
IN$118.111
KS$115.841
KY$115.031
LA$114.70–$120.592
MA$131.60–$146.462
MD$127.56–$145.563
ME$117.63–$124.742
MI$117.78–$123.912
MN$127.981
MO$112.43–$121.473
MS$111.941
MT$126.251
NC$118.961
ND$125.261
NE$117.531
NH$130.141
NJ$136.59–$143.912
NM$118.301
NV$126.081
NY$120.77–$148.145
OH$117.581
OK$115.201
OR$125.36–$137.312
PA$117.97–$131.122
PR$127.331
RI$129.841
SC$118.411
SD$125.151
TN$116.391
TX$117.15–$131.918
UT$120.091
VA$124.07–$145.562
VI$127.331
VT$124.431
WA$131.47–$149.862
WI$120.911
WV$113.891
WY$125.821

See 77067 in every payment locality

How the 77067 rate is calculated

Each of 77067’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 · 77067

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.74

0.74 RVUs× 1.000 GPCI

Practice expense2.99

2.99 RVUs× 1.000 GPCI

Malpractice0.05

0.05 RVUs× 1.000 GPCI

Adjusted RVUs

3.7800

Conversion factor

$33.4009

Medicare rate

$126.26

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

The exact Kansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,982

Code
77067
Physician work
0.74
Practice expense
2.99
Malpractice
0.05

GPCI2026.csv

54

Locality
Kansas
Physician work
1.000
Practice expense
0.904
Malpractice
0.504
Office calculation for 77067 in Kansas
ComponentRVULocality factorAdjusted
Physician work0.74× 1.0000.7400
Practice expense2.99× 0.9042.7030
Malpractice0.05× 0.5040.0252
Total RVUs3.4682
Conversion factor× 33.4009

Office rate, Kansas$115.84

Office: (0.74 × 1 + 2.99 × 0.904 + 0.05 × 0.504) × $33.4009 = $115.84

Open 77067 in the RVU calculator

Payment rules and modifiers for 77067

The CMS indicators that decide how 77067 is paid alongside other services.

CMS payment indicators · 77067

Screening mammogram, bilateral, CAD included

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

77067 without 26 · national office

$126.26

Screening mammogram, bilateral, CAD included

77067-26 · Professional component

$35.07

Pays only the interpretation and report.

When to use modifier 26

How 77067 has changed in Kansas

77067 · Office / nonfacility

$115.84

Effective 2026-10-01

The base rate is $1.29 higher than on 2025-10-01, moving from $114.55 to $115.84 (1.1%).

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

    $114.55changed to$115.84

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.76 changed to 0.74
    • Practice expense RVU 3.04 changed to 2.99
    • Practice expense GPCI 0.906 changed to 0.904
    • Malpractice GPCI 0.540 changed to 0.504

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $117.58changed to$114.55

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.03 changed to 3.04

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $115.66changed to$117.58

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $120.04changed to$115.66

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.04 changed to 3.03
    • Practice expense GPCI 0.907 changed to 0.906
    • Malpractice GPCI 0.499 changed to 0.540
  5. January 1, 2023

    RVU23A

    $121.99changed to$120.04

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.02 changed to 3.04
    • Practice expense GPCI 0.908 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.499

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $123.63changed to$121.99

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.04 changed to 3.02

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $128.43changed to$123.63

    • Conversion factor 36.0896 changed to 34.8931
    • Malpractice RVU 0.06 changed to 0.05
    • Practice expense GPCI 0.910 changed to 0.908
    • Malpractice GPCI 0.536 changed to 0.458

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $127.98changed to$128.43

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.03 changed to 3.04
    • Malpractice RVU 0.05 changed to 0.06
    • Practice expense GPCI 0.911 changed to 0.910
    • Malpractice GPCI 0.615 changed to 0.536

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $129.81changed to$127.98

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.09 changed to 3.03

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    No ratechanged to$129.81

    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$115.84Not available in this settingRVU26D
2026-07-01$115.84Not available in this settingRVU26C
2026-04-01$115.84Not available in this settingRVU26B
2026-01-01$115.84Not available in this settingRVU26A
2025-10-01$114.55Not available in this settingRVU25D
2025-07-01$114.55Not available in this settingRVU25C
2025-04-01$114.55Not available in this settingRVU25B
2025-01-01$114.55Not available in this settingRVU25A
2024-10-01$117.58Not available in this settingRVU24D
2024-07-01$117.58Not available in this settingRVU24C
2024-04-01$117.58Not available in this settingRVU24B
2024-03-09$117.58Not available in this settingRVU24AR
2024-01-01$115.66Not available in this settingRVU24A
2023-10-01$120.04Not available in this settingRVU23D
2023-07-01$120.04Not available in this settingRVU23C
2023-04-01$120.04Not available in this settingRVU23B
2023-01-01$120.04Not available in this settingRVU23A
2022-10-01$121.99Not available in this settingRVU22D
2022-07-01$121.99Not available in this settingRVU22C
2022-04-01$121.99Not available in this settingRVU22B
2022-01-01$121.99Not available in this settingRVU22A
2021-10-01$123.63Not available in this settingRVU21D
2021-07-01$123.63Not available in this settingRVU21C
2021-04-01$123.63Not available in this settingRVU21B
2021-01-01$123.63Not available in this settingRVU21A
2020-10-01$128.43Not available in this settingRVU20D
2020-07-01$128.43Not available in this settingRVU20C
2020-04-01$128.43Not available in this settingRVU20B
2020-01-01$128.43Not available in this settingRVU20A
2019-10-01$127.98Not available in this settingRVU19D
2019-07-01$127.98Not available in this settingRVU19C
2019-04-01$127.98Not available in this settingRVU19B
2019-01-01$127.98Not available in this settingRVU19A
2018-10-01$129.81Not available in this settingRVU18D
2018-07-01$129.81Not available in this settingRVU18C
2018-04-01$129.81Not available in this settingRVU18B
2018-01-01$129.81Not 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 77067 for an earlier date of service

Where the Kansas rate applies

Kansas is a Medicare payment area, not a city. Our Census mapping connects it to 740 cities and communities in Kansas. Some span more than one payment area; confirm with the service ZIP.

  • Abbyville
  • Abilene
  • Ada
  • Admire
  • Agenda
  • Agra
  • Albert
  • Alden

Browse all communities in Kansas

77067 billing questions

When should a mammogram be coded as screening rather than diagnostic?

Use 77067 for routine bilateral screening of an asymptomatic patient. Use 77065 or 77066 when the examination evaluates a symptom or an abnormal finding that needs diagnostic workup.

Can CAD be billed separately with this code?

No. Computer-aided detection is included in 77067 when performed, so no separate CAD code is reported.

How is 3D screening tomosynthesis reported with this mammogram?

Report add-on code 77063 for screening digital breast tomosynthesis along with 77067. Code 77063 is not reported alone.

Should modifier 50 be appended?

No. Code 77067 covers both breasts and is priced as bilateral, so modifier 50 does not increase Medicare payment.

How do the radiologist and imaging provider bill this service?

Under the physician fee schedule, the radiologist reports modifier 26 for the interpretation, and the entity furnishing the images reports modifier TC for the technical component. An imaging center furnishing both components reports the global code without either modifier.

What documentation supports reporting 77067?

The record should show a screening indication, bilateral image acquisition, and the radiologist's interpretation. A symptom or abnormal finding requiring evaluation supports diagnostic mammography instead.

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 77067PPRRVU2026_Oct_nonQPP.csv, line 8,982 (RVU26D)
Geographic factors for KansasGPCI2026.csv, line 54 (RVU26D)

Open CMS sourceHow we calculate rates

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