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CMS RVU26D · Effective 2026-10-01

77053 in Madera

Office / nonfacility

$56.72

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Breast imaging

About 77053: Unilateral mammary ductogram imaging

Reports contrast imaging of one breast duct, typically during evaluation of unilateral nipple discharge when the ductal system needs focused assessment.

A ductogram images the milk ducts of one breast after a radiologist or other qualified imaging professional cannulates a duct opening at the nipple and introduces contrast. Mammographic images then show the opacified ductal pathway and may help assess an abnormality associated with nipple discharge, such as a suspected intraductal lesion. This is a focused duct study, not a routine screening mammogram or a standard diagnostic mammogram of the breast.

Select this unilateral service when only one breast is examined; use 77054 for a bilateral ductogram. Documentation should identify the side, clinical reason for the study, duct cannulation and contrast administration, imaging performed, and interpretation. The service has professional and technical components: report modifier 26 for interpretation only, modifier TC for equipment and staff only, or no component modifier when billing the global service.

CMS billing rules for 77053

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.

Where the value comes from

  • Work RVU0.35 · 22%
  • Practice expense (office) RVU1.21 · 76%
  • Malpractice RVU0.03 · 2%

90

Medicare services in 2024 · #4964 by national volume

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.

77053 compared with similar codes

Office rates for Madera, from the same CMS release.

77054

Ductography

Mammary duct X-ray

$73.14

77053 describes duct imaging of one breast; 77054 is for bilateral duct imaging.

77065

Diagnostic mammogram

One breast, CAD included

$132.61

77065 is unilateral diagnostic mammography. Use 77053 for a focused contrast study of one breast duct.

77066

Diagnostic mammogram

Bilateral, including CAD

$167.97

77066 is bilateral diagnostic mammography, while 77053 images a duct in one breast after contrast administration.

The same code, a different location

How does Madera compare?

In Bakersfield, the office rate for 77053 is $56.82—$0.10 higher than the $56.72 rate in Madera. Both use the same code, release and participation basis.

77053 across payment areas

Same release and payment basis · bars start at $0

  1. Madera · This locality

    $56.72

  2. Bakersfield

    $56.82

    $0.10 higher than Madera

  3. Chico

    $56.72

    The same base rate than Madera

  4. El Centro

    $56.73

    $0.01 higher than Madera

  5. Fresno

    $56.72

    The same base rate than Madera

  6. Hanford-Corcoran

    $56.72

    The same base rate than Madera

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $60.65

    $3.93 higher than Madera

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 77053 ranges from $46.92 in Arkansas to $71.79 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Merced

    California · 77053

    Office

    $56.72

    Facility

    Unavailable

    The same base rate than Madera for the office setting.

  • Modesto

    California · 77053

    Office

    $56.72

    Facility

    Unavailable

    The same base rate than Madera for the office setting.

  • Napa

    California · 77053

    Office

    $66.20

    Facility

    Unavailable

    $9.48 higher than Madera for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 77053

    Office

    $60.41

    Facility

    Unavailable

    $3.69 higher than Madera for the office setting.

  • Redding

    California · 77053

    Office

    $56.72

    Facility

    Unavailable

    The same base rate than Madera for the office setting.

  • Rest Of California

    California · 77053

    Office

    $56.72

    Facility

    Unavailable

    The same base rate than Madera for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 77053

    Office

    $57.05

    Facility

    Unavailable

    $0.33 higher than Madera for the office setting.

  • Sacramento-Roseville-Folsom

    California · 77053

    Office

    $59.65

    Facility

    Unavailable

    $2.93 higher than Madera for the office setting.

  • Salinas

    California · 77053

    Office

    $59.43

    Facility

    Unavailable

    $2.71 higher than Madera for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 77053

    Office

    $60.92

    Facility

    Unavailable

    $4.20 higher than Madera for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 77053

    Office

    $70.25

    Facility

    Unavailable

    $13.53 higher than Madera for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 77053

    Office

    $70.21

    Facility

    Unavailable

    $13.49 higher than Madera for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 77053

    Office

    $71.79

    Facility

    Unavailable

    $15.07 higher than Madera for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 77053

    Office

    $71.65

    Facility

    Unavailable

    $14.93 higher than Madera for the office setting.

  • San Luis Obispo-Paso Robles

    California · 77053

    Office

    $58.46

    Facility

    Unavailable

    $1.74 higher than Madera for the office setting.

  • Santa Cruz-Watsonville

    California · 77053

    Office

    $61.58

    Facility

    Unavailable

    $4.86 higher than Madera for the office setting.

  • Santa Maria-Santa Barbara

    California · 77053

    Office

    $59.68

    Facility

    Unavailable

    $2.96 higher than Madera for the office setting.

  • Santa Rosa-Petaluma

    California · 77053

    Office

    $62.21

    Facility

    Unavailable

    $5.49 higher than Madera for the office setting.

  • Stockton

    California · 77053

    Office

    $56.72

    Facility

    Unavailable

    The same base rate than Madera for the office setting.

  • Vallejo

    California · 77053

    Office

    $66.15

    Facility

    Unavailable

    $9.43 higher than Madera for the office setting.

  • Visalia

    California · 77053

    Office

    $56.72

    Facility

    Unavailable

    The same base rate than Madera for the office setting.

  • Yuba City

    California · 77053

    Office

    $56.72

    Facility

    Unavailable

    The same base rate than Madera for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 77053

    Office

    $61.05

    Facility

    Unavailable

    $4.33 higher than Madera for the office setting.

  • Miami

    Florida · 77053

    Office

    $56.30

    Facility

    Unavailable

    $0.42 lower than Madera for the office setting.

  • Chicago

    Illinois · 77053

    Office

    $54.69

    Facility

    Unavailable

    $2.03 lower than Madera for the office setting.

  • Manhattan

    New York · 77053

    Office

    $60.99

    Facility

    Unavailable

    $4.27 higher than Madera for the office setting.

  • Alaska*

    Alaska · 77053

    Office

    $61.13

    Facility

    Unavailable

    $4.41 higher than Madera for the office setting.

  • Alabama

    Alabama · 77053

    Office

    $47.62

    Facility

    Unavailable

    $9.10 lower than Madera for the office setting.

  • Arkansas

    Arkansas · 77053

    Office

    $46.92

    Facility

    Unavailable

    $9.80 lower than Madera for the office setting.

  • Arizona

    Arizona · 77053

    Office

    $51.71

    Facility

    Unavailable

    $5.01 lower than Madera for the office setting.

  • Colorado

    Colorado · 77053

    Office

    $55.61

    Facility

    Unavailable

    $1.11 lower than Madera for the office setting.

  • Connecticut

    Connecticut · 77053

    Office

    $56.66

    Facility

    Unavailable

    $0.06 lower than Madera for the office setting.

  • Delaware

    Delaware · 77053

    Office

    $52.58

    Facility

    Unavailable

    $4.14 lower than Madera for the office setting.

  • Fort Lauderdale

    Florida · 77053

    Office

    $54.44

    Facility

    Unavailable

    $2.28 lower than Madera for the office setting.

  • Rest Of Florida

    Florida · 77053

    Office

    $51.83

    Facility

    Unavailable

    $4.89 lower than Madera for the office setting.

  • Atlanta

    Georgia · 77053

    Office

    $53.99

    Facility

    Unavailable

    $2.73 lower than Madera for the office setting.

  • Rest Of Georgia

    Georgia · 77053

    Office

    $48.93

    Facility

    Unavailable

    $7.79 lower than Madera for the office setting.

  • Hawaii, Guam

    Hawaii · 77053

    Office

    $58.22

    Facility

    Unavailable

    $1.50 higher than Madera for the office setting.

  • Iowa

    Iowa · 77053

    Office

    $49.07

    Facility

    Unavailable

    $7.65 lower than Madera for the office setting.

  • Idaho

    Idaho · 77053

    Office

    $49.35

    Facility

    Unavailable

    $7.37 lower than Madera for the office setting.

  • East St. Louis

    Illinois · 77053

    Office

    $50.89

    Facility

    Unavailable

    $5.83 lower than Madera for the office setting.

  • Rest Of Illinois

    Illinois · 77053

    Office

    $50.16

    Facility

    Unavailable

    $6.56 lower than Madera for the office setting.

  • Suburban Chicago

    Illinois · 77053

    Office

    $55.05

    Facility

    Unavailable

    $1.67 lower than Madera for the office setting.

  • Indiana

    Indiana · 77053

    Office

    $49.64

    Facility

    Unavailable

    $7.08 lower than Madera for the office setting.

  • Kansas

    Kansas · 77053

    Office

    $48.73

    Facility

    Unavailable

    $7.99 lower than Madera for the office setting.

  • Kentucky

    Kentucky · 77053

    Office

    $48.54

    Facility

    Unavailable

    $8.18 lower than Madera for the office setting.

  • New Orleans

    Louisiana · 77053

    Office

    $50.86

    Facility

    Unavailable

    $5.86 lower than Madera for the office setting.

  • Rest Of Louisiana

    Louisiana · 77053

    Office

    $48.42

    Facility

    Unavailable

    $8.30 lower than Madera for the office setting.

  • Metropolitan Boston

    Massachusetts · 77053

    Office

    $61.32

    Facility

    Unavailable

    $4.60 higher than Madera for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 77053

    Office

    $55.23

    Facility

    Unavailable

    $1.49 lower than Madera for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 77053

    Office

    $56.48

    Facility

    Unavailable

    $0.24 lower than Madera for the office setting.

  • Rest Of Maryland

    Maryland · 77053

    Office

    $53.63

    Facility

    Unavailable

    $3.09 lower than Madera for the office setting.

  • Rest Of Maine

    Maine · 77053

    Office

    $49.50

    Facility

    Unavailable

    $7.22 lower than Madera for the office setting.

  • Southern Maine

    Maine · 77053

    Office

    $52.37

    Facility

    Unavailable

    $4.35 lower than Madera for the office setting.

  • Detroit

    Michigan · 77053

    Office

    $52.38

    Facility

    Unavailable

    $4.34 lower than Madera for the office setting.

  • Rest Of Michigan

    Michigan · 77053

    Office

    $49.72

    Facility

    Unavailable

    $7.00 lower than Madera for the office setting.

  • Minnesota

    Minnesota · 77053

    Office

    $53.57

    Facility

    Unavailable

    $3.15 lower than Madera for the office setting.

  • Metropolitan Kansas City

    Missouri · 77053

    Office

    $50.62

    Facility

    Unavailable

    $6.10 lower than Madera for the office setting.

  • Metropolitan St. Louis

    Missouri · 77053

    Office

    $51.17

    Facility

    Unavailable

    $5.55 lower than Madera for the office setting.

  • Rest Of Missouri

    Missouri · 77053

    Office

    $47.50

    Facility

    Unavailable

    $9.22 lower than Madera for the office setting.

  • Mississippi

    Mississippi · 77053

    Office

    $47.23

    Facility

    Unavailable

    $9.49 lower than Madera for the office setting.

  • Montana**

    Montana · 77053

    Office

    $53.11

    Facility

    Unavailable

    $3.61 lower than Madera for the office setting.

  • North Carolina

    North Carolina · 77053

    Office

    $50.04

    Facility

    Unavailable

    $6.68 lower than Madera for the office setting.

  • North Dakota**

    North Dakota · 77053

    Office

    $52.51

    Facility

    Unavailable

    $4.21 lower than Madera for the office setting.

  • Nebraska

    Nebraska · 77053

    Office

    $49.37

    Facility

    Unavailable

    $7.35 lower than Madera for the office setting.

  • New Hampshire

    New Hampshire · 77053

    Office

    $54.64

    Facility

    Unavailable

    $2.08 lower than Madera for the office setting.

  • Northern Nj

    New Jersey · 77053

    Office

    $60.38

    Facility

    Unavailable

    $3.66 higher than Madera for the office setting.

  • Rest Of New Jersey

    New Jersey · 77053

    Office

    $57.39

    Facility

    Unavailable

    $0.67 higher than Madera for the office setting.

  • New Mexico

    New Mexico · 77053

    Office

    $49.95

    Facility

    Unavailable

    $6.77 lower than Madera for the office setting.

  • Nevada**

    Nevada · 77053

    Office

    $52.98

    Facility

    Unavailable

    $3.74 lower than Madera for the office setting.

  • Nyc Suburbs/Long Island

    New York · 77053

    Office

    $62.35

    Facility

    Unavailable

    $5.63 higher than Madera for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 77053

    Office

    $57.68

    Facility

    Unavailable

    $0.96 higher than Madera for the office setting.

  • Queens

    New York · 77053

    Office

    $61.65

    Facility

    Unavailable

    $4.93 higher than Madera for the office setting.

  • Rest Of New York

    New York · 77053

    Office

    $50.79

    Facility

    Unavailable

    $5.93 lower than Madera for the office setting.

  • Ohio

    Ohio · 77053

    Office

    $49.60

    Facility

    Unavailable

    $7.12 lower than Madera for the office setting.

  • Oklahoma

    Oklahoma · 77053

    Office

    $48.56

    Facility

    Unavailable

    $8.16 lower than Madera for the office setting.

  • Portland

    Oregon · 77053

    Office

    $57.52

    Facility

    Unavailable

    $0.80 higher than Madera for the office setting.

  • Rest Of Oregon

    Oregon · 77053

    Office

    $52.65

    Facility

    Unavailable

    $4.07 lower than Madera for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 77053

    Office

    $55.17

    Facility

    Unavailable

    $1.55 lower than Madera for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 77053

    Office

    $49.74

    Facility

    Unavailable

    $6.98 lower than Madera for the office setting.

  • Puerto Rico

    Puerto Rico · 77053

    Office

    $53.54

    Facility

    Unavailable

    $3.18 lower than Madera for the office setting.

  • Rhode Island

    Rhode Island · 77053

    Office

    $54.56

    Facility

    Unavailable

    $2.16 lower than Madera for the office setting.

  • South Carolina

    South Carolina · 77053

    Office

    $49.89

    Facility

    Unavailable

    $6.83 lower than Madera for the office setting.

  • South Dakota**

    South Dakota · 77053

    Office

    $52.44

    Facility

    Unavailable

    $4.28 lower than Madera for the office setting.

  • Tennessee

    Tennessee · 77053

    Office

    $48.97

    Facility

    Unavailable

    $7.75 lower than Madera for the office setting.

  • Austin

    Texas · 77053

    Office

    $55.36

    Facility

    Unavailable

    $1.36 lower than Madera for the office setting.

  • Beaumont

    Texas · 77053

    Office

    $49.40

    Facility

    Unavailable

    $7.32 lower than Madera for the office setting.

  • Brazoria

    Texas · 77053

    Office

    $52.62

    Facility

    Unavailable

    $4.10 lower than Madera for the office setting.

  • Dallas

    Texas · 77053

    Office

    $52.91

    Facility

    Unavailable

    $3.81 lower than Madera for the office setting.

  • Fort Worth

    Texas · 77053

    Office

    $52.52

    Facility

    Unavailable

    $4.20 lower than Madera for the office setting.

  • Galveston

    Texas · 77053

    Office

    $52.75

    Facility

    Unavailable

    $3.97 lower than Madera for the office setting.

  • Houston

    Texas · 77053

    Office

    $53.29

    Facility

    Unavailable

    $3.43 lower than Madera for the office setting.

  • Rest Of Texas

    Texas · 77053

    Office

    $50.95

    Facility

    Unavailable

    $5.77 lower than Madera for the office setting.

  • Utah

    Utah · 77053

    Office

    $50.58

    Facility

    Unavailable

    $6.14 lower than Madera for the office setting.

  • Virginia

    Virginia · 77053

    Office

    $52.13

    Facility

    Unavailable

    $4.59 lower than Madera for the office setting.

  • Virgin Islands

    United States Virgin Islands · 77053

    Office

    $53.54

    Facility

    Unavailable

    $3.18 lower than Madera for the office setting.

  • Vermont

    Vermont · 77053

    Office

    $52.21

    Facility

    Unavailable

    $4.51 lower than Madera for the office setting.

  • Rest Of Washington

    Washington · 77053

    Office

    $55.16

    Facility

    Unavailable

    $1.56 lower than Madera for the office setting.

  • Seattle (King Cnty)

    Washington · 77053

    Office

    $62.68

    Facility

    Unavailable

    $5.96 higher than Madera for the office setting.

  • Wisconsin

    Wisconsin · 77053

    Office

    $50.72

    Facility

    Unavailable

    $6.00 lower than Madera for the office setting.

  • West Virginia

    West Virginia · 77053

    Office

    $48.24

    Facility

    Unavailable

    $8.48 lower than Madera for the office setting.

  • Wyoming**

    Wyoming · 77053

    Office

    $52.85

    Facility

    Unavailable

    $3.87 lower than Madera for the office setting.

See how rates vary across the country

77053 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$46.92

$64.26

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$61.131
AL$47.621
AR$46.921
AZ$51.711
CA$56.72–$71.7929
CO$55.611
CT$56.661
DC$61.051
DE$52.581
FL$51.83–$56.303
GA$48.93–$53.992
GU$58.221
HI$58.221
IA$49.071
ID$49.351
IL$50.16–$55.054
IN$49.641
KS$48.731
KY$48.541
LA$48.42–$50.862
MA$55.23–$61.322
MD$53.63–$61.053
ME$49.50–$52.372
MI$49.72–$52.382
MN$53.571
MO$47.50–$51.173
MS$47.231
MT$53.111
NC$50.041
ND$52.511
NE$49.371
NH$54.641
NJ$57.39–$60.382
NM$49.951
NV$52.981
NY$50.79–$62.355
OH$49.601
OK$48.561
OR$52.65–$57.522
PA$49.74–$55.172
PR$53.541
RI$54.561
SC$49.891
SD$52.441
TN$48.971
TX$49.40–$55.368
UT$50.581
VA$52.13–$61.052
VI$53.541
VT$52.211
WA$55.16–$62.682
WI$50.721
WV$48.241
WY$52.851

Explore 77053 on the national rate map →

Where does this rate apply?

Madera is a Medicare payment area. Our Census mapping connects it to 17 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 77053 in Madera. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$62.39

$56.72 × 110% = $62.39

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 77053 in Madera.

PPRRVU2026_Oct_nonQPP.csv

8,961

Code
77053
Physician work
0.35
Practice expense
1.21
Malpractice
0.03

GPCI2026.csv

14

Locality
Madera
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 77053 in Madera
ComponentRVULocality factorAdjusted
Physician work0.35× 1.0170.3559
Practice expense1.21× 1.0961.3262
Malpractice0.03× 0.5360.0161
Total RVUs1.6982
Conversion factor× 33.4009

Office / nonfacility rate, Madera$56.72

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 77053 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.351.017
Practice expense1.211.096
Malpractice0.030.536

(0.35 × 1.017 + 1.21 × 1.096 + 0.03 × 0.536) × $33.4009 = $56.72

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

77053 · Office / nonfacility

$56.72

Effective 2026-10-01

The base rate is $1.24 higher than on 2025-10-01, moving from $55.48 to $56.72 (2.2%).

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

    $55.48changed to$56.72

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.36 changed to 0.35
    • Practice expense RVU 1.22 changed to 1.21
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $55.48

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$56.72Not available in this settingRVU26D
2026-07-01$56.72Not available in this settingRVU26C
2026-04-01$56.72Not available in this settingRVU26B
2026-01-01$56.72Not available in this settingRVU26A
2025-10-01$55.48Not available in this settingRVU25D
2025-07-01$55.48Not available in this settingRVU25C
2025-04-01$55.48Not available in this settingRVU25B
2025-01-01$55.48Not available in this settingRVU25A

77053 billing questions

When should 77053 be selected instead of 77054?

Use 77053 for a ductogram of one breast. Use 77054 when the ductogram is bilateral.

Is this the same as a diagnostic mammogram?

No. A ductogram opacifies and images a breast duct after contrast is introduced through the nipple. Diagnostic mammography images breast tissue without that duct cannulation and contrast study.

How should the professional and technical portions be reported?

Use modifier 26 for the interpretation, modifier TC for the equipment and staff, or neither when billing the global service.

What documentation supports reporting 77053?

Record the unilateral side, the indication for duct imaging, the duct cannulated, contrast administration, images obtained, and the interpretation.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 77053PPRRVU2026_Oct_nonQPP.csv, line 8,961 (RVU26D)
Geographic factors for MaderaGPCI2026.csv, line 14 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet