Cost analysis for CPT 77066 — Diagnostic mammography of both breasts
Average Medicare Payment
$56.91
2023 data
Total Payments (2023)
$33.4M
Services (2023)
542.3K
Price Change (2018–2023)
-5.8%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2018 | $60.40 | $37.5M | 589.0K | — |
| 2019 | $60.59 | $38.3M | 600.7K | +0.3% |
| 2020 | $60.49 | $35.4M | 545.8K | -0.2% |
| 2021 | $59.75 | $35.3M | 552.2K | -1.2% |
| 2022 | $58.10 | $34.1M | 547.1K | -2.8% |
| 2023 | $56.91 | $33.4M | 542.3K | -2.0% |
The most expensive state pays 3.1x more than the cheapest for this procedure. MD averages $101.41 vs ID at $32.23.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| MD | $101.41 | $1.7M | 17.0K | 162 |
| NV | $87.67 | $295.3K | 3.4K | 73 |
| PR | $87.59 | $183.6K | 2.1K | 42 |
| NJ | $87.47 | $1.3M | 15.2K | 270 |
| AZ | $84.69 | $1.1M | 13.0K | 128 |
| NY | $80.87 | $2.7M | 33.2K | 552 |
| FL | $76.51 | $4.4M | 57.6K | 595 |
| WY | $74.80 | $55.6K | 743 | 23 |
| CA | $73.52 | $4.1M | 55.9K | 734 |
| NM | $73.31 | $263.7K | 3.6K | 48 |
| DC | $72.74 | $426.1K | 5.9K | 46 |
| AK | $71.78 | $83.0K | 1.2K | 17 |
| CO | $68.94 | $497.4K | 7.2K | 119 |
| RI | $65.83 | $173.3K | 2.6K | 35 |
| WA | $65.11 | $772.2K | 11.9K | 168 |
| DE | $64.97 | $139.9K | 2.2K | 31 |
| HI | $64.37 | $124.2K | 1.9K | 35 |
| MN | $62.64 | $404.8K | 6.5K | 165 |
| NC | $62.13 | $1.3M | 21.1K | 342 |
| CT | $61.71 | $310.4K | 5.0K | 129 |
| VA | $61.69 | $1.2M | 19.8K | 244 |
| KS | $58.53 | $271.0K | 4.6K | 88 |
| GA | $54.77 | $863.0K | 15.8K | 254 |
| TX | $54.53 | $1.8M | 33.0K | 524 |
| IA | $53.27 | $223.1K | 4.2K | 95 |
| TN | $51.38 | $806.4K | 15.7K | 230 |
| AL | $50.19 | $271.4K | 5.4K | 120 |
| AR | $49.75 | $412.8K | 8.3K | 93 |
| MA | $47.20 | $685.5K | 14.5K | 276 |
| MT | $47.17 | $49.3K | 1.0K | 29 |
| NE | $47.15 | $87.8K | 1.9K | 56 |
| NH | $46.86 | $79.9K | 1.7K | 50 |
| OR | $46.79 | $229.7K | 4.9K | 95 |
| WI | $46.65 | $297.4K | 6.4K | 193 |
| IL | $45.87 | $1.2M | 25.2K | 381 |
| MS | $43.57 | $184.2K | 4.2K | 69 |
| ND | $43.51 | $43.2K | 993 | 29 |
| PA | $43.35 | $1.1M | 26.2K | 392 |
| LA | $42.36 | $246.5K | 5.8K | 131 |
| MO | $42.18 | $449.2K | 10.6K | 187 |
| UT | $40.86 | $72.1K | 1.8K | 53 |
| MI | $40.51 | $443.3K | 10.9K | 225 |
| IN | $39.98 | $407.9K | 10.2K | 159 |
| SC | $39.64 | $332.5K | 8.4K | 128 |
| OK | $39.62 | $247.5K | 6.2K | 88 |
| KY | $38.51 | $208.6K | 5.4K | 101 |
| OH | $37.51 | $546.9K | 14.6K | 293 |
| SD | $36.77 | $64.5K | 1.8K | 38 |
| ME | $33.94 | $59.8K | 1.8K | 41 |
| VT | $33.12 | $28.2K | 852 | 24 |
| WV | $32.71 | $44.1K | 1.3K | 53 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| John Kehoe | Surgical Oncology | NY | $199.2K | 1.5K | $132.92 |
| Steven Nokes | Diagnostic Radiology | TN | $103.3K | 963 | $107.30 |
| Shenin Sachedina | General Surgery | FL | $96.9K | 877 | $110.46 |
| Kimberly Kubek | Diagnostic Radiology | PA | $93.1K | 832 | $111.91 |
| Stanford Schwimer | Diagnostic Radiology | CA | $92.9K | 735 | $126.40 |
| Sergio Dromi | Diagnostic Radiology | FL | $91.3K | 761 | $120.00 |
| Patricia Turner | Diagnostic Radiology | TN | $89.4K | 809 | $110.53 |
| Brenda Simpson | General Surgery | GA | $78.1K | 679 | $115.08 |
| Jennifer Amerson | General Surgery | GA | $77.4K | 669 | $115.73 |
| Ross Goldberg | Diagnostic Radiology | CA | $76.6K | 595 | $128.77 |
| Reema Munir | Diagnostic Radiology | CA | $75.5K | 551 | $137.06 |
| Carrie Stallings | General Surgery | GA | $75.0K | 637 | $117.77 |
| Joseph Lebovic | Diagnostic Radiology | CA | $70.0K | 564 | $124.11 |
| Jon Foran | Diagnostic Radiology | CA | $67.3K | 478 | $140.88 |
| Jessie Jacob | Diagnostic Radiology | CA | $58.4K | 405 | $144.21 |
| Coastal Care Corporation | Independent Diagnostic Testing Facility (IDTF) | FL | $57.4K | 494 | $116.21 |
| Daniel Aronson | Diagnostic Radiology | MD | $49.8K | 408 | $122.05 |
| Hattiesburg Clinic Pa | Mammography Center | MS | $44.6K | 461 | $96.69 |
| Patricia Kelly | Diagnostic Radiology | NY | $43.3K | 302 | $143.30 |
| Daniel Maki | Diagnostic Radiology | AZ | $43.0K | 399 | $107.66 |
The data suggests significant pricing inconsistencies for CPT 77066. With a 3.1x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
While costs have decreased 5.8% since 2018, the wide state-by-state variation suggests the pricing formula may not adequately account for regional differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.