Billing code 77054: DuctographyMedicare rate & RVUs
Reports radiographic imaging of mammary ducts after contrast is introduced into a duct, commonly during evaluation of abnormal nipple discharge.
Medicare pays $68.47 for 77054 nationally in the office. Local office rates run $60.43–$92.65.
Medicare rate · 77054
Ductography
- Work RVUs
- 0.44
- Total RVUs
- 2.05
- Global days
- XXX
National rate · 2026
$68.47
Office setting, before claim adjustments.
See every locality for 77054 →Billed by an NP, PA or therapist? →
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 10 sections
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.
Where 77054 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$60.43 to $92.65
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $61.34 | Unavailable |
| Alaska* | $78.63 | Unavailable |
| Arizona | $66.65 | Unavailable |
| Arkansas | $60.43 | Unavailable |
| Atlanta | $69.62 | Unavailable |
| Austin | $71.39 | Unavailable |
| Bakersfield | $73.26 | Unavailable |
| Baltimore/Surr. Cntys | $72.85 | Unavailable |
| Beaumont | $63.66 | Unavailable |
| Brazoria | $67.82 | Unavailable |
| Chicago | $70.57 | Unavailable |
| Chico | $73.14 | Unavailable |
| Colorado | $71.71 | Unavailable |
| Connecticut | $73.08 | Unavailable |
| Dallas | $68.20 | Unavailable |
| Dc + Md/Va Suburbs | $78.75 | Unavailable |
| Delaware | $67.78 | Unavailable |
| Detroit | $67.55 | Unavailable |
| East St. Louis | $65.63 | Unavailable |
| El Centro | $73.14 | Unavailable |
| Fort Lauderdale | $70.23 | Unavailable |
| Fort Worth | $67.70 | Unavailable |
| Fresno | $73.14 | Unavailable |
| Galveston | $67.99 | Unavailable |
| Hanford-Corcoran | $73.14 | Unavailable |
| Hawaii, Guam | $75.09 | Unavailable |
| Houston | $68.72 | Unavailable |
| Idaho | $63.57 | Unavailable |
| Indiana | $63.96 | Unavailable |
| Iowa | $63.21 | Unavailable |
| Kansas | $62.77 | Unavailable |
| Kentucky | $62.54 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $78.22 | Unavailable |
| Madera | $73.14 | Unavailable |
| Manhattan | $78.69 | Unavailable |
| Merced | $73.14 | Unavailable |
| Metropolitan Boston | $79.10 | Unavailable |
| Metropolitan Kansas City | $65.24 | Unavailable |
| Metropolitan Philadelphia | $71.14 | Unavailable |
| Metropolitan St. Louis | $65.96 | Unavailable |
| Miami | $72.66 | Unavailable |
| Minnesota | $69.05 | Unavailable |
| Mississippi | $60.83 | Unavailable |
| Modesto | $73.14 | Unavailable |
| Montana** | $68.47 | Unavailable |
| Napa | $85.42 | Unavailable |
| Nebraska | $63.60 | Unavailable |
| Nevada** | $68.30 | Unavailable |
| New Hampshire | $70.45 | Unavailable |
| New Mexico | $64.39 | Unavailable |
| New Orleans | $65.56 | Unavailable |
| North Carolina | $64.48 | Unavailable |
| North Dakota** | $67.68 | Unavailable |
| Northern Nj | $77.88 | Unavailable |
| Nyc Suburbs/Long Island | $80.47 | Unavailable |
| Ohio | $63.92 | Unavailable |
| Oklahoma | $62.56 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $77.92 | Unavailable |
| Portland | $74.19 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $74.40 | Unavailable |
| Puerto Rico | $69.03 | Unavailable |
| Queens | $79.55 | Unavailable |
| Redding | $73.14 | Unavailable |
| Rest Of California | $73.14 | Unavailable |
| Rest Of Florida | $66.84 | Unavailable |
| Rest Of Georgia | $63.06 | Unavailable |
| Rest Of Illinois | $64.66 | Unavailable |
| Rest Of Louisiana | $62.39 | Unavailable |
| Rest Of Maine | $63.77 | Unavailable |
| Rest Of Maryland | $69.14 | Unavailable |
| Rest Of Massachusetts | $71.22 | Unavailable |
| Rest Of Michigan | $64.08 | Unavailable |
| Rest Of Missouri | $61.20 | Unavailable |
| Rest Of New Jersey | $74.01 | Unavailable |
| Rest Of New York | $65.45 | Unavailable |
| Rest Of Oregon | $67.87 | Unavailable |
| Rest Of Pennsylvania | $64.10 | Unavailable |
| Rest Of Texas | $65.67 | Unavailable |
| Rest Of Washington | $71.12 | Unavailable |
| Rhode Island | $70.34 | Unavailable |
| Riverside-San Bernardino-Ontario | $73.57 | Unavailable |
| Sacramento-Roseville-Folsom | $76.93 | Unavailable |
| Salinas | $76.65 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $78.58 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $90.65 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $90.60 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $92.65 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $92.46 | Unavailable |
| San Luis Obispo-Paso Robles | $75.39 | Unavailable |
| Santa Cruz-Watsonville | $79.44 | Unavailable |
| Santa Maria-Santa Barbara | $76.97 | Unavailable |
| Santa Rosa-Petaluma | $80.25 | Unavailable |
| Seattle (King Cnty) | $80.87 | Unavailable |
| South Carolina | $64.29 | Unavailable |
| South Dakota** | $67.58 | Unavailable |
| Southern Maine | $67.51 | Unavailable |
| Stockton | $73.14 | Unavailable |
| Suburban Chicago | $71.02 | Unavailable |
| Tennessee | $63.08 | Unavailable |
| Utah | $65.19 | Unavailable |
| Vallejo | $85.35 | Unavailable |
| Vermont | $67.29 | Unavailable |
| Virgin Islands | $69.03 | Unavailable |
| Virginia | $67.19 | Unavailable |
| Visalia | $73.14 | Unavailable |
| West Virginia | $62.18 | Unavailable |
| Wisconsin | $65.34 | Unavailable |
| Wyoming** | $68.12 | Unavailable |
| Yuba City | $73.14 | Unavailable |
77054 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.
$60.43
$82.90
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 | $78.63 | 1 |
| AL | $61.34 | 1 |
| AR | $60.43 | 1 |
| AZ | $66.65 | 1 |
| CA | $73.14–$92.65 | 29 |
| CO | $71.71 | 1 |
| CT | $73.08 | 1 |
| DC | $78.75 | 1 |
| DE | $67.78 | 1 |
| FL | $66.84–$72.66 | 3 |
| GA | $63.06–$69.62 | 2 |
| GU | $75.09 | 1 |
| HI | $75.09 | 1 |
| IA | $63.21 | 1 |
| ID | $63.57 | 1 |
| IL | $64.66–$71.02 | 4 |
| IN | $63.96 | 1 |
| KS | $62.77 | 1 |
| KY | $62.54 | 1 |
| LA | $62.39–$65.56 | 2 |
| MA | $71.22–$79.10 | 2 |
| MD | $69.14–$78.75 | 3 |
| ME | $63.77–$67.51 | 2 |
| MI | $64.08–$67.55 | 2 |
| MN | $69.05 | 1 |
| MO | $61.20–$65.96 | 3 |
| MS | $60.83 | 1 |
| MT | $68.47 | 1 |
| NC | $64.48 | 1 |
| ND | $67.68 | 1 |
| NE | $63.60 | 1 |
| NH | $70.45 | 1 |
| NJ | $74.01–$77.88 | 2 |
| NM | $64.39 | 1 |
| NV | $68.30 | 1 |
| NY | $65.45–$80.47 | 5 |
| OH | $63.92 | 1 |
| OK | $62.56 | 1 |
| OR | $67.87–$74.19 | 2 |
| PA | $64.10–$71.14 | 2 |
| PR | $69.03 | 1 |
| RI | $70.34 | 1 |
| SC | $64.29 | 1 |
| SD | $67.58 | 1 |
| TN | $63.08 | 1 |
| TX | $63.66–$71.39 | 8 |
| UT | $65.19 | 1 |
| VA | $67.19–$78.75 | 2 |
| VI | $69.03 | 1 |
| VT | $67.29 | 1 |
| WA | $71.12–$80.87 | 2 |
| WI | $65.34 | 1 |
| WV | $62.18 | 1 |
| WY | $68.12 | 1 |
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
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.
Payment rules and modifiers for 77054
The CMS indicators that decide how 77054 is paid alongside other services.
CMS payment indicators · 77054
Ductography
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 9 | The concept doesn’t apply. |
| 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
77054 without 26 · national office
$68.47
Ductography
77054-26 · Professional component
$21.04
Pays only the interpretation and report.
77054 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 77053Mammary duct X-ray
- This is the closely related mammary duct imaging code. Compare the full billing code descriptors with the documented duct study before choosing between them.
- 77065Diagnostic mammogram
- 77065 reports unilateral diagnostic mammography; 77054 is for mammary duct X-ray imaging after contrast is introduced into a duct.
- 77066Diagnostic mammogram
- 77066 reports bilateral diagnostic mammography; it does not describe the contrast-based imaging of mammary ducts reported with 77054.
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 billing code 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
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