CPT 77066 · professional fee

Dx mammo incl cad bi (CPT 77066): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 77066, 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
$225
P10 to P90: $141 to $412
vs Medicare
144%
non-facility rate $156.98
Payer spread
1.43×
UHC $259 vs Aetna $181
State spread
2.9×
AK $410 to OK $144
5,789 sampled providers7,289 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers
1

UnitedHealthcare has the highest median for CPT 77066 in the files analyzed, at $259, 43% above Aetna ($181), the lowest of the 4 payers shown.

2

The state spread is 2.9×: Alaska has the highest median at $410 and Oklahoma the lowest at $144, a gap larger than the gap between the highest and lowest payer.

3

Commercial rates run 144% of the Medicare non-facility rate ($156.98), which ranks 136th of 228 tracked codes by commercial-to-Medicare ratio.

4

Rates are tightest within Aetna (interquartile range $90) and widest within Blue Cross Blue Shield ($136).

5

This is a top-23 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
PayerMedianP25P75vs nationalRankProvidersPosition
UnitedHealthcare$259$193$355+15%13,939
165% of Medicare
Cigna$241$198$333+7%24,546
153% of Medicare
Blue Cross Blue Shield$209$158$293-7%34,636
133% of Medicare
Aetna$181$157$248-20%43,757
115% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($156.98)
$74$160$245$331$416$501UnitedHealthcareCignaBlue Cross Blue ShieldAetnaMedicare

Rates by state

Median across payers · 51 states with enough data
RankStateMedianvs nationalHighest payerLowest payerProvidersLevel
1Alaska$410+82%AetnaCigna61
2Washington$348+55%AetnaBCBS117
3Wisconsin$323+43%UHCCigna118
4South Dakota$315+40%CignaAetna85
5Wyoming$309+37%BCBSAetna41
6Iowa$302+34%CignaAetna100
7Nebraska$301+33%CignaAetna120
8North Dakota$293+30%BCBSAetna86
9Oregon$278+23%UHCBCBS106
10North Carolina$271+20%CignaAetna121
11Colorado$258+15%UHCAetna124
12Idaho$253+12%BCBSUHC124
13Ohio$252+12%UHCCigna128
14Montana$250+11%AetnaUHC69
15Massachusetts$238+6%UHCAetna120
16Georgia$237+5%UHCAetna128
17Utah$236+5%UHCAetna121
18West Virginia$235+4%UHCBCBS117
19Rhode Island$234+4%UHCAetna127
19Connecticut$234+4%UHCAetna125
21Arkansas$234+4%UHCBCBS117
22Vermont$232+3%UHCAetna63
23New Jersey$232+3%UHCAetna125
24Tennessee$232+3%UHCAetna128
25Hawaii$230+2%UHCAetna105
26Virginia$229+2%UHCBCBS120
27Michigan$227+1%CignaAetna116
28Maine$226+0%UHCAetna127
28New Hampshire$226+0%UHCAetna128
30South Carolina$223-1%CignaAetna111
31Missouri$219-3%UHCAetna123
32Pennsylvania$217-4%UHCAetna119
33California$215-5%UHCAetna107
34Minnesota$214-5%UHCAetna123
35Florida$205-9%UHCBCBS107
36Louisiana$203-10%CignaBCBS121
37District of Columbia$203-10%UHCBCBS131
38Delaware$201-11%UHCAetna98
39Arizona$200-11%CignaBCBS113
40Nevada$199-12%UHCBCBS123
41Maryland$195-14%UHCBCBS106
42Kansas$192-15%CignaAetna116
43New Mexico$191-15%UHCBCBS123
44Mississippi$189-16%CignaBCBS112
45New York$188-17%CignaBCBS129
46Illinois$188-17%UHCBCBS123
47Alabama$181-20%AetnaBCBS126
48Kentucky$179-21%CignaBCBS133
49Indiana$178-21%UHCAetna135
50Texas$176-22%CignaBCBS133
51Oklahoma$144-36%UHCBCBS110

Frequently asked questions

Answers use this page's data
Which payer has the highest median rate for CPT 77066?

In the files we analyzed, UnitedHealthcare, at a median of $259 across 3,939 sampled providers. Aetna is lowest at $181, 43% 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 $156.98.

Which state has the highest median for CPT 77066?

Alaska has the highest median at $410; Oklahoma has the lowest at $144.

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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