What is Diagnostic Mammography of 1 Breast (CPT 77065)?

Diagnostic mammography of 1 breast. This clinical code is utilized across practices and hospitals for diagnostic and therapeutic service documentation.

What do doctors typically charge for Diagnostic Mammography of 1 Breast?

The nationwide median physician charge for Diagnostic Mammography of 1 Breast (CPT 77065) is $163.00. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for CPT 77065?

The standard insurance baseline reimbursement rate is $38.93. This represents the customary allowable amount established across standard fee schedules.

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CPT 77065Medical Service

Diagnostic Mammography of 1 Breast

Diagnostic mammography of 1 breast. Clinical pricing breakdown and utilization metrics across 9,312 practicing doctors nationwide.

$163.00

Peer Median Charge

Gross billed rate

$38.93

Standard Baseline

Customary allowable

4.2x

National Markup

Charge vs baseline

9,312

Active Physicians

Billing this code

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $163.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $38.93 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code 77065 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"