CPT 77065 · professional fee

Dx mammo incl cad uni (CPT 77065): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 77065, from their published in-network rate files.

Diagnostic radiologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$179

P10 to P90: $111 to $326

vs Medicare

144%

non-facility rate $123.92

Payer spread

1.41×

UHC $205 vs Aetna $145

State spread

2.8×

AK $325 to OK $118

5,780 sampled providers7,068 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers

UnitedHealthcare has the highest median for CPT 77065 in the files analyzed, at $205, 41% above Aetna ($145), the lowest of the 4 payers shown.

The state spread is 2.8×: Alaska has the highest median at $325 and Oklahoma the lowest at $118, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 144% of the Medicare non-facility rate ($123.92), which ranks 132nd of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $72) and widest within Blue Cross Blue Shield ($110).

This is a top-25 code for diagnostic radiology by Medicare allowed dollars, so it carries real revenue weight for that specialty.

Rates by payer

Median of per-provider median rates, with interquartile range

Payer	Median	P25	P75	vs national	Rank	Providers	Position
UnitedHealthcare	$205	$152	$281	+15%	1	3,939	166% of Medicare
Cigna	$190	$156	$263	+7%	2	4,546	154% of Medicare
Blue Cross Blue Shield	$160	$124	$234	-10%	3	4,560	129% of Medicare
Aetna	$145	$127	$199	-19%	4	3,738	117% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($123.92)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$325	+82%	Aetna	Cigna	61
2	Washington	$276	+54%	Aetna	BCBS	117
3	Wisconsin	$261	+46%	UHC	Cigna	118
4	South Dakota	$250	+40%	Cigna	Aetna	85
5	Wyoming	$244	+37%	BCBS	Aetna	41
6	Iowa	$238	+33%	Cigna	Aetna	100
7	Nebraska	$238	+33%	Cigna	Aetna	120
8	North Dakota	$232	+30%	BCBS	Aetna	86
9	Oregon	$220	+23%	UHC	BCBS	106
10	North Carolina	$215	+20%	Cigna	BCBS	121
11	Colorado	$204	+14%	UHC	Aetna	124
12	Ohio	$203	+14%	UHC	Cigna	128
13	Idaho	$202	+13%	BCBS	UHC	124
14	Montana	$198	+11%	Aetna	UHC	69
15	Georgia	$189	+6%	UHC	Aetna	127
16	Utah	$186	+4%	UHC	Aetna	121
17	Connecticut	$186	+4%	UHC	Aetna	124
18	Arkansas	$184	+3%	UHC	BCBS	116
19	Vermont	$184	+3%	UHC	Aetna	63
20	Rhode Island	$183	+2%	UHC	Aetna	126
20	New Hampshire	$183	+2%	UHC	Aetna	127
22	New Jersey	$182	+2%	UHC	Aetna	125
23	Hawaii	$182	+2%	UHC	BCBS	104
24	West Virginia	$182	+2%	UHC	BCBS	117
25	Massachusetts	$181	+1%	UHC	Aetna	118
26	Missouri	$181	+1%	UHC	BCBS	123
27	Tennessee	$180	+1%	UHC	Aetna	127
28	Virginia	$180	+1%	UHC	Aetna	120
29	Michigan	$180	+1%	Cigna	Aetna	116
30	Maine	$179	+0%	UHC	Aetna	127
31	South Carolina	$174	-3%	Cigna	Aetna	111
32	Pennsylvania	$171	-4%	UHC	Aetna	120
33	Minnesota	$168	-6%	UHC	Aetna	123
34	California	$166	-7%	UHC	Aetna	107
35	Louisiana	$162	-9%	Cigna	BCBS	121
36	District of Columbia	$160	-11%	UHC	BCBS	131
37	Alabama	$159	-11%	Aetna	UHC	126
38	Florida	$158	-12%	UHC	BCBS	106
39	Nevada	$155	-13%	UHC	BCBS	123
40	Arizona	$154	-14%	Cigna	BCBS	113
41	Kansas	$154	-14%	Cigna	Aetna	116
42	Delaware	$154	-14%	UHC	Aetna	98
43	New Mexico	$151	-15%	UHC	BCBS	123
44	Mississippi	$151	-15%	Cigna	BCBS	112
45	Maryland	$150	-16%	UHC	BCBS	106
46	Illinois	$150	-16%	UHC	BCBS	124
47	New York	$148	-17%	Cigna	BCBS	128
48	Kentucky	$141	-21%	Cigna	BCBS	133
49	Indiana	$140	-22%	UHC	Aetna	135
50	Texas	$139	-22%	Cigna	BCBS	133
51	Oklahoma	$118	-34%	UHC	BCBS	110

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 77065?

In the files we analyzed, UnitedHealthcare, at a median of $205 across 3,939 sampled providers. Aetna is lowest at $145, 41% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 144% of the 2026 Medicare non-facility rate of $123.92.

Which state has the highest median for CPT 77065?

Alaska has the highest median at $325; Oklahoma has the lowest at $118.

Is this a professional fee?

These are professional (physician) fees only. Facility, device and implant payments are priced separately and are not included.

How current is this data?

It is the August 2026 snapshot of each payer's in-network rate file. Sources and filters are listed in the methodology below.

Methodology

How these numbers are calculated

Source: in-network negotiated-rate files published under the federal Transparency in Coverage rule, August 2026 snapshot: UnitedHealthcare Choice plans (74 files); Aetna commercial plans (70 files); Cigna national PPO (1 files); BCBS licensees' own-network files (5,387 files). Payer comparisons describe these files, not each payer's entire book of business.
Sample: rates come from a random sample of up to 150 providers per state and specialty. Counts on this page are sampled providers and TINs, not totals.
Which providers count: only providers in a specialty relevant to the code, because a rate in a payer file attaches to a provider group and is listed under every provider in that group.
Filters: fee-for-service, professional billing class, no modifier, negotiated or fee-schedule dollar rates. Rates outside 1% to 1,000% of the Medicare rate are excluded.
Statistic: one median rate per provider, then percentiles across providers. A cell is shown only with at least 15 sampled providers and 4 TINs.
Medicare benchmark: CY2026 national physician fee schedule, non-QPP conversion factor, unadjusted for locality. Where the non-facility rate is more than twice the facility rate (office rates that include device or supply cost), the facility rate is used so comparisons are like for like.

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