CPT code 77067: Screening mammogram, bilateral, CAD included2026 Medicare rate & RVUs in Vermont
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.
In Vermont, Medicare pays $124.43 for 77067 in the office.
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.
On this page 11 sections
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 Vermont 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. Vermont pays $124.43. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Vermont · this page$124.43
- Los Angeles, CA · California$144.98+$20.55
- Washington, DC area · District of Columbia$145.56+$21.13
- Miami, FL · Florida$132.90+$8.47
- Chicago, IL · Illinois$129.09+$4.66
- Manhattan, NY · New York$144.99+$20.56
- Alaska · Alaska$144.36+$19.93
Other areas in Vermont first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 | — |
| Madera, CACalifornia | $135.49 | — |
| Merced, CACalifornia | $135.49 | — |
| Modesto, CACalifornia | $135.49 | — |
| Napa, CACalifornia | $158.75 | — |
| Oxnard, CACalifornia | $144.49 | — |
| Redding, CACalifornia | $135.49 | — |
| Rest of CaliforniaCalifornia | $135.49 | — |
| Riverside, CACalifornia | $136.04 | — |
| Sacramento, CACalifornia | $142.65 | — |
| Salinas, CACalifornia | $142.13 | — |
| San Diego, CACalifornia | $145.81 | — |
| Marin County, CACalifornia | $168.65 | — |
| San Francisco, CACalifornia | $168.59 | — |
| San Benito County, CACalifornia | $172.34 | — |
| Santa Clara County, CACalifornia | $172.11 | — |
| San Luis Obispo, CACalifornia | $139.78 | — |
| Santa Cruz, CACalifornia | $147.47 | — |
| Santa Maria, CACalifornia | $142.75 | — |
| Santa Rosa, CACalifornia | $148.99 | — |
| Stockton, CACalifornia | $135.49 | — |
| Vallejo, CACalifornia | $158.67 | — |
| Visalia, CACalifornia | $135.49 | — |
| Yuba City, CACalifornia | $135.49 | — |
| ColoradoColorado | $132.58 | — |
| ConnecticutConnecticut | $134.79 | — |
| DelawareDelaware | $125.01 | — |
| Fort Lauderdale, FLFlorida | $128.90 | — |
| Rest of FloridaFlorida | $122.70 | — |
| Atlanta, GAGeorgia | $128.26 | — |
| Rest of GeorgiaGeorgia | $115.79 | — |
| Hawaii, Guam, HIHawaii | $139.23 | — |
| IowaIowa | $116.76 | — |
| IdahoIdaho | $117.39 | — |
| East St. Louis, ILIllinois | $119.96 | — |
| Rest of IllinoisIllinois | $118.51 | — |
| Suburban Chicago, ILIllinois | $130.41 | — |
| IndianaIndiana | $118.11 | — |
| KansasKansas | $115.84 | — |
| KentuckyKentucky | $115.03 | — |
| New Orleans, LALouisiana | $120.59 | — |
| Rest of LouisianaLouisiana | $114.70 | — |
| Metropolitan Boston, MAMassachusetts | $146.46 | — |
| Rest of MassachusettsMassachusetts | $131.60 | — |
| Baltimore area, MDMaryland | $134.34 | — |
| Rest of MarylandMaryland | $127.56 | — |
| Rest of MaineMaine | $117.63 | — |
| Southern Maine, MEMaine | $124.74 | — |
| Detroit, MIMichigan | $123.91 | — |
| Rest of MichiganMichigan | $117.78 | — |
| MinnesotaMinnesota | $127.98 | — |
| Metropolitan Kansas City, MOMissouri | $120.13 | — |
| Metropolitan St. Louis, MOMissouri | $121.47 | — |
| Rest of MissouriMissouri | $112.43 | — |
| MississippiMississippi | $111.94 | — |
| MontanaMontana | $126.25 | — |
| North CarolinaNorth Carolina | $118.96 | — |
| North DakotaNorth Dakota | $125.26 | — |
| NebraskaNebraska | $117.53 | — |
| New HampshireNew Hampshire | $130.14 | — |
| Northern New JerseyNew Jersey | $143.91 | — |
| Rest of New JerseyNew Jersey | $136.59 | — |
| New MexicoNew Mexico | $118.30 | — |
| NevadaNevada | $126.08 | — |
| NYC suburbs and Long Island, NYNew York | $148.14 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $137.21 | — |
| Queens, NYNew York | $146.75 | — |
| Rest of New YorkNew York | $120.77 | — |
| OhioOhio | $117.58 | — |
| OklahomaOklahoma | $115.20 | — |
| Portland, OROregon | $137.31 | — |
| Rest of OregonOregon | $125.36 | — |
| Metropolitan Philadelphia, PAPennsylvania | $131.12 | — |
| Rest of PennsylvaniaPennsylvania | $117.97 | — |
| Puerto RicoPuerto Rico | $127.33 | — |
| Rhode IslandRhode Island | $129.84 | — |
| South CarolinaSouth Carolina | $118.41 | — |
| South DakotaSouth Dakota | $125.15 | — |
| TennesseeTennessee | $116.39 | — |
| Austin, TXTexas | $131.91 | — |
| Beaumont, TXTexas | $117.15 | — |
| Brazoria, TXTexas | $125.19 | — |
| Dallas, TXTexas | $125.84 | — |
| Fort Worth, TXTexas | $124.86 | — |
| Galveston, TXTexas | $125.47 | — |
| Houston, TXTexas | $126.38 | — |
| Rest of TexasTexas | $121.00 | — |
| UtahUtah | $120.09 | — |
| VirginiaVirginia | $124.07 | — |
| Virgin Islands, VIUnited States Virgin Islands | $127.33 | — |
| Rest of WashingtonWashington | $131.47 | — |
| King County, WAWashington | $149.86 | — |
| WisconsinWisconsin | $120.91 | — |
| West VirginiaWest Virginia | $113.89 | — |
| WyomingWyoming | $125.82 | — |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $144.36 | 1 |
| AL | $113.05 | 1 |
| AR | $111.36 | 1 |
| AZ | $122.92 | 1 |
| CA | $135.49–$172.34 | 29 |
| CO | $132.58 | 1 |
| CT | $134.79 | 1 |
| DC | $145.56 | 1 |
| DE | $125.01 | 1 |
| FL | $122.70–$132.90 | 3 |
| GA | $115.79–$128.26 | 2 |
| GU | $139.23 | 1 |
| HI | $139.23 | 1 |
| IA | $116.76 | 1 |
| ID | $117.39 | 1 |
| IL | $118.51–$130.41 | 4 |
| IN | $118.11 | 1 |
| KS | $115.84 | 1 |
| KY | $115.03 | 1 |
| LA | $114.70–$120.59 | 2 |
| MA | $131.60–$146.46 | 2 |
| MD | $127.56–$145.56 | 3 |
| ME | $117.63–$124.74 | 2 |
| MI | $117.78–$123.91 | 2 |
| MN | $127.98 | 1 |
| MO | $112.43–$121.47 | 3 |
| MS | $111.94 | 1 |
| MT | $126.25 | 1 |
| NC | $118.96 | 1 |
| ND | $125.26 | 1 |
| NE | $117.53 | 1 |
| NH | $130.14 | 1 |
| NJ | $136.59–$143.91 | 2 |
| NM | $118.30 | 1 |
| NV | $126.08 | 1 |
| NY | $120.77–$148.14 | 5 |
| OH | $117.58 | 1 |
| OK | $115.20 | 1 |
| OR | $125.36–$137.31 | 2 |
| PA | $117.97–$131.12 | 2 |
| PR | $127.33 | 1 |
| RI | $129.84 | 1 |
| SC | $118.41 | 1 |
| SD | $125.15 | 1 |
| TN | $116.39 | 1 |
| TX | $117.15–$131.91 | 8 |
| UT | $120.09 | 1 |
| VA | $124.07–$145.56 | 2 |
| VI | $127.33 | 1 |
| VT | $124.43 | 1 |
| WA | $131.47–$149.86 | 2 |
| WI | $120.91 | 1 |
| WV | $113.89 | 1 |
| WY | $125.82 | 1 |
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
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 Vermont 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
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.74 | × 1.000 | 0.7400 |
| Practice expense | 2.99 | × 0.990 | 2.9601 |
| Malpractice | 0.05 | × 0.506 | 0.0253 |
| Total RVUs | 3.7254 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Vermont$124.43
Office: (0.74 × 1 + 2.99 × 0.99 + 0.05 × 0.506) × $33.4009 = $124.43
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic 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.
How 77067 has changed in Vermont
77067 · Office / nonfacility
$124.43
Effective 2026-10-01
The base rate is $1.36 higher than on 2025-10-01, moving from $123.07 to $124.43 (1.1%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$123.07changed to$124.43
- 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 0.993 changed to 0.990
- Malpractice GPCI 0.518 changed to 0.506
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$126.32changed to$123.07
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 3.03 changed to 3.04
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$124.25changed to$126.32
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$129.38changed to$124.25
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 3.04 changed to 3.03
- Practice expense GPCI 0.997 changed to 0.993
- Malpractice GPCI 0.543 changed to 0.518
January 1, 2023
RVU23A
$131.90changed to$129.38
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 3.02 changed to 3.04
- Practice expense GPCI 1.001 changed to 0.997
- Malpractice GPCI 0.569 changed to 0.543
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$133.69changed to$131.90
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 3.04 changed to 3.02
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$139.28changed to$133.69
- Conversion factor 36.0896 changed to 34.8931
- Malpractice RVU 0.06 changed to 0.05
- Practice expense GPCI 1.008 changed to 1.001
- Malpractice GPCI 0.582 changed to 0.569
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$139.30changed to$139.28
- 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 1.015 changed to 1.008
- Malpractice GPCI 0.595 changed to 0.582
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$141.34changed to$139.30
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 3.09 changed to 3.03
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
No ratechanged to$141.34
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged toNo rate
Held through RVU17B, RVU17C, RVU17D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $124.43 | Not available in this setting | RVU26D |
| 2026-07-01 | $124.43 | Not available in this setting | RVU26C |
| 2026-04-01 | $124.43 | Not available in this setting | RVU26B |
| 2026-01-01 | $124.43 | Not available in this setting | RVU26A |
| 2025-10-01 | $123.07 | Not available in this setting | RVU25D |
| 2025-07-01 | $123.07 | Not available in this setting | RVU25C |
| 2025-04-01 | $123.07 | Not available in this setting | RVU25B |
| 2025-01-01 | $123.07 | Not available in this setting | RVU25A |
| 2024-10-01 | $126.32 | Not available in this setting | RVU24D |
| 2024-07-01 | $126.32 | Not available in this setting | RVU24C |
| 2024-04-01 | $126.32 | Not available in this setting | RVU24B |
| 2024-03-09 | $126.32 | Not available in this setting | RVU24AR |
| 2024-01-01 | $124.25 | Not available in this setting | RVU24A |
| 2023-10-01 | $129.38 | Not available in this setting | RVU23D |
| 2023-07-01 | $129.38 | Not available in this setting | RVU23C |
| 2023-04-01 | $129.38 | Not available in this setting | RVU23B |
| 2023-01-01 | $129.38 | Not available in this setting | RVU23A |
| 2022-10-01 | $131.90 | Not available in this setting | RVU22D |
| 2022-07-01 | $131.90 | Not available in this setting | RVU22C |
| 2022-04-01 | $131.90 | Not available in this setting | RVU22B |
| 2022-01-01 | $131.90 | Not available in this setting | RVU22A |
| 2021-10-01 | $133.69 | Not available in this setting | RVU21D |
| 2021-07-01 | $133.69 | Not available in this setting | RVU21C |
| 2021-04-01 | $133.69 | Not available in this setting | RVU21B |
| 2021-01-01 | $133.69 | Not available in this setting | RVU21A |
| 2020-10-01 | $139.28 | Not available in this setting | RVU20D |
| 2020-07-01 | $139.28 | Not available in this setting | RVU20C |
| 2020-04-01 | $139.28 | Not available in this setting | RVU20B |
| 2020-01-01 | $139.28 | Not available in this setting | RVU20A |
| 2019-10-01 | $139.30 | Not available in this setting | RVU19D |
| 2019-07-01 | $139.30 | Not available in this setting | RVU19C |
| 2019-04-01 | $139.30 | Not available in this setting | RVU19B |
| 2019-01-01 | $139.30 | Not available in this setting | RVU19A |
| 2018-10-01 | $141.34 | Not available in this setting | RVU18D |
| 2018-07-01 | $141.34 | Not available in this setting | RVU18C |
| 2018-04-01 | $141.34 | Not available in this setting | RVU18B |
| 2018-01-01 | $141.34 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | Separate payment rules apply | Separate payment rules apply | RVU17D |
| 2017-07-01 | Separate payment rules apply | Separate payment rules apply | RVU17C |
| 2017-04-01 | Separate payment rules apply | Separate payment rules apply | RVU17B |
| 2017-01-01 | Separate payment rules apply | Separate payment rules apply | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Vermont rate applies
Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.
- Albany
- Alburgh
- Algiers
- Arlington
- Ascutney
- Bakersfield
- Barnet
- Barre
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
Fee sheets
Put 77067 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet