Billing code 77075: Skeletal surveyMedicare rate & RVUs
A complete skeletal survey uses radiographs of the axial and appendicular skeleton to assess disorders such as multiple myeloma or suspected skeletal metastases.
Medicare pays $97.86 for 77075 nationally in the office. Local office rates run $86.03–$133.62.
Medicare rate · 77075
Skeletal survey
Swap in your local Medicare rate.
- Work RVUs
- 0.54
- Total RVUs
- 2.93
- Global days
- XXX
National rate · 2026
$97.86
Office setting, before claim adjustments.
See every locality for 77075 → · 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 77075 covers
This examination is a coordinated set of radiographs covering the skull, spine, pelvis, ribs, and long bones. It is commonly ordered when hematology or oncology teams evaluate multiple myeloma, suspected skeletal metastases, or another disorder requiring a broad survey of the skeleton. Radiologic technologists acquire the images, and a qualified physician interprets them. The service may be performed in a hospital imaging department or an outpatient radiology facility.
Report the complete survey as one examination rather than billing separately for each image or body area. The order and imaging documentation should support the need for a complete survey and show that the requested skeletal regions were examined. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff portion, and reporting without either modifier represents the global service.
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 77075 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
$86.03 to $133.62
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $87.37 | Unavailable |
| Alaska* | $111.21 | Unavailable |
| Arizona | $95.20 | Unavailable |
| Arkansas | $86.03 | Unavailable |
| Atlanta | $99.50 | Unavailable |
| Austin | $102.24 | Unavailable |
| Bakersfield | $105.06 | Unavailable |
| Baltimore/Surr. Cntys | $104.25 | Unavailable |
| Beaumont | $90.71 | Unavailable |
| Brazoria | $96.94 | Unavailable |
| Chicago | $100.54 | Unavailable |
| Chico | $104.90 | Unavailable |
| Colorado | $102.72 | Unavailable |
| Connecticut | $104.59 | Unavailable |
| Dallas | $97.48 | Unavailable |
| Dc + Md/Va Suburbs | $112.94 | Unavailable |
| Delaware | $96.85 | Unavailable |
| Detroit | $96.27 | Unavailable |
| East St. Louis | $93.31 | Unavailable |
| El Centro | $104.91 | Unavailable |
| Fort Lauderdale | $100.23 | Unavailable |
| Fort Worth | $96.72 | Unavailable |
| Fresno | $104.90 | Unavailable |
| Galveston | $97.17 | Unavailable |
| Hanford-Corcoran | $104.90 | Unavailable |
| Hawaii, Guam | $107.87 | Unavailable |
| Houston | $98.09 | Unavailable |
| Idaho | $90.73 | Unavailable |
| Indiana | $91.30 | Unavailable |
| Iowa | $90.21 | Unavailable |
| Kansas | $89.53 | Unavailable |
| Kentucky | $89.05 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $112.35 | Unavailable |
| Madera | $104.90 | Unavailable |
| Manhattan | $112.66 | Unavailable |
| Merced | $104.90 | Unavailable |
| Metropolitan Boston | $113.58 | Unavailable |
| Metropolitan Kansas City | $93.06 | Unavailable |
| Metropolitan Philadelphia | $101.72 | Unavailable |
| Metropolitan St. Louis | $94.12 | Unavailable |
| Miami | $103.62 | Unavailable |
| Minnesota | $98.96 | Unavailable |
| Mississippi | $86.56 | Unavailable |
| Modesto | $104.90 | Unavailable |
| Montana** | $97.86 | Unavailable |
| Napa | $123.03 | Unavailable |
| Nebraska | $90.81 | Unavailable |
| Nevada** | $97.66 | Unavailable |
| New Hampshire | $100.86 | Unavailable |
| New Mexico | $91.71 | Unavailable |
| New Orleans | $93.48 | Unavailable |
| North Carolina | $92.03 | Unavailable |
| North Dakota** | $96.87 | Unavailable |
| Northern Nj | $111.62 | Unavailable |
| Nyc Suburbs/Long Island | $115.22 | Unavailable |
| Ohio | $91.08 | Unavailable |
| Oklahoma | $89.13 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $111.96 | Unavailable |
| Portland | $106.40 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $106.45 | Unavailable |
| Puerto Rico | $98.70 | Unavailable |
| Queens | $113.98 | Unavailable |
| Redding | $104.90 | Unavailable |
| Rest Of California | $104.90 | Unavailable |
| Rest Of Florida | $95.27 | Unavailable |
| Rest Of Georgia | $89.74 | Unavailable |
| Rest Of Illinois | $92.01 | Unavailable |
| Rest Of Louisiana | $88.81 | Unavailable |
| Rest Of Maine | $90.98 | Unavailable |
| Rest Of Maryland | $98.85 | Unavailable |
| Rest Of Massachusetts | $101.96 | Unavailable |
| Rest Of Michigan | $91.28 | Unavailable |
| Rest Of Missouri | $87.04 | Unavailable |
| Rest Of New Jersey | $105.94 | Unavailable |
| Rest Of New York | $93.46 | Unavailable |
| Rest Of Oregon | $97.06 | Unavailable |
| Rest Of Pennsylvania | $91.36 | Unavailable |
| Rest Of Texas | $93.72 | Unavailable |
| Rest Of Washington | $101.84 | Unavailable |
| Rhode Island | $100.61 | Unavailable |
| Riverside-San Bernardino-Ontario | $105.45 | Unavailable |
| Sacramento-Roseville-Folsom | $110.48 | Unavailable |
| Salinas | $110.08 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $112.96 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $130.72 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $130.66 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $133.62 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $133.39 | Unavailable |
| San Luis Obispo-Paso Robles | $108.26 | Unavailable |
| Santa Cruz-Watsonville | $114.27 | Unavailable |
| Santa Maria-Santa Barbara | $110.57 | Unavailable |
| Santa Rosa-Petaluma | $115.45 | Unavailable |
| Seattle (King Cnty) | $116.20 | Unavailable |
| South Carolina | $91.67 | Unavailable |
| South Dakota** | $96.76 | Unavailable |
| Southern Maine | $96.54 | Unavailable |
| Stockton | $104.90 | Unavailable |
| Suburban Chicago | $101.39 | Unavailable |
| Tennessee | $89.98 | Unavailable |
| Utah | $93.00 | Unavailable |
| Vallejo | $122.95 | Unavailable |
| Vermont | $96.26 | Unavailable |
| Virgin Islands | $98.70 | Unavailable |
| Virginia | $96.04 | Unavailable |
| Visalia | $104.90 | Unavailable |
| West Virginia | $88.35 | Unavailable |
| Wisconsin | $93.43 | Unavailable |
| Wyoming** | $97.43 | Unavailable |
| Yuba City | $104.90 | Unavailable |
77075 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.
$86.03
$119.26
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 | $111.21 | 1 |
| AL | $87.37 | 1 |
| AR | $86.03 | 1 |
| AZ | $95.20 | 1 |
| CA | $104.90–$133.62 | 29 |
| CO | $102.72 | 1 |
| CT | $104.59 | 1 |
| DC | $112.94 | 1 |
| DE | $96.85 | 1 |
| FL | $95.27–$103.62 | 3 |
| GA | $89.74–$99.50 | 2 |
| GU | $107.87 | 1 |
| HI | $107.87 | 1 |
| IA | $90.21 | 1 |
| ID | $90.73 | 1 |
| IL | $92.01–$101.39 | 4 |
| IN | $91.30 | 1 |
| KS | $89.53 | 1 |
| KY | $89.05 | 1 |
| LA | $88.81–$93.48 | 2 |
| MA | $101.96–$113.58 | 2 |
| MD | $98.85–$112.94 | 3 |
| ME | $90.98–$96.54 | 2 |
| MI | $91.28–$96.27 | 2 |
| MN | $98.96 | 1 |
| MO | $87.04–$94.12 | 3 |
| MS | $86.56 | 1 |
| MT | $97.86 | 1 |
| NC | $92.03 | 1 |
| ND | $96.87 | 1 |
| NE | $90.81 | 1 |
| NH | $100.86 | 1 |
| NJ | $105.94–$111.62 | 2 |
| NM | $91.71 | 1 |
| NV | $97.66 | 1 |
| NY | $93.46–$115.22 | 5 |
| OH | $91.08 | 1 |
| OK | $89.13 | 1 |
| OR | $97.06–$106.40 | 2 |
| PA | $91.36–$101.72 | 2 |
| PR | $98.70 | 1 |
| RI | $100.61 | 1 |
| SC | $91.67 | 1 |
| SD | $96.76 | 1 |
| TN | $89.98 | 1 |
| TX | $90.71–$102.24 | 8 |
| UT | $93.00 | 1 |
| VA | $96.04–$112.94 | 2 |
| VI | $98.70 | 1 |
| VT | $96.26 | 1 |
| WA | $101.84–$116.20 | 2 |
| WI | $93.43 | 1 |
| WV | $88.35 | 1 |
| WY | $97.43 | 1 |
How the 77075 rate is calculated
Each of 77075’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 · 77075
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.54Practice expense 2.34Malpractice 0.05
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 77075
The CMS indicators that decide how 77075 is paid alongside other services.
CMS payment indicators · 77075
Skeletal survey
| 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) | 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
77075 without 26 · national office
$97.86
Skeletal survey
77075-26 · Professional component
$25.72
Pays only the interpretation and report.
77075 compared with similar codes
Compare codes
77075 vs 77074 vs 77076 vs 78306: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 77074Skeletal survey
- Use 77075 for a complete survey of the skeleton; 77074 is for a limited survey. The documented scope of the radiographic examination determines the choice.
- 77076Skeletal survey
- 77076 is the infant skeletal survey code. Use 77075 for the complete survey in a non-infant patient.
- 78306Bone imaging
- 78306 is a whole-body nuclear medicine bone scan, not a series of skeletal radiographs. The ordering clinician's imaging method determines which service is performed.
77075 billing questions
When should the complete survey be chosen over the limited survey?
Choose the complete survey when the clinical request calls for broad skeletal imaging, including the skull, spine, pelvis, ribs, and long bones. Use the limited survey when the examination is restricted to a more limited set of skeletal areas.
Can the images and interpretation be billed separately?
Yes. Modifier TC identifies the technical portion, and modifier 26 identifies the professional interpretation. Without either modifier, the claim represents the global service.
Should each imaged region be reported as a separate unit?
No. The complete survey is reported as one examination, not as separate services for the individual images or skeletal regions.
What documentation supports reporting a complete survey?
The record should support the indication for broad skeletal imaging, such as evaluation for multiple myeloma or suspected skeletal metastases, and document the regions included in the examination.
How does this code differ from the infant skeletal survey?
This code represents the complete survey for a non-infant patient. The infant survey is reported with 77076.
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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