Screening mammogram, bilateral
A routine screening mammogram for breast cancer.
Based on typical US negotiated and cash-pay rates. Hospital charges can run significantly higher — often 2–10x these numbers. If your bill is well above this range, it's worth questioning.
- Cost-sharing (copay/deductible) applied — ACA-covered preventive service should be 100% in-network.
- Diagnostic mammogram code (77066) used for a routine screening.
Screening mammograms are ACA preventive — appeal any cost-sharing. Diagnostic codes require symptoms or callback findings.
Frequently asked questions
What does CPT code 77067 mean?
A routine screening mammogram for breast cancer. In billing terms it's categorized as "Screening mammogram, bilateral" under Preventive.
How much should CPT 77067 cost?
Typical negotiated and cash-pay rates run about $100–$350. Hospital list prices are often 2–10× higher, but insurers rarely pay those. If your bill is well above the top of this range, ask for an itemized bill and compare.
Is CPT 77067 covered by insurance?
Most commercial plans and Medicare cover screening mammogram, bilateral when it's medically necessary and coded correctly. Denials usually come from missing prior authorization, incorrect modifiers, or the payer disputing medical necessity — all of which can be appealed.
What should I do if CPT 77067 looks wrong on my bill?
Screening mammograms are ACA preventive — appeal any cost-sharing. Diagnostic codes require symptoms or callback findings.
Can I dispute a charge for CPT 77067?
Yes. You have the right to request an itemized bill, dispute the coding with the provider's billing office, and appeal the insurer's decision. Federal rules (including the No Surprises Act for emergency and out-of-network ancillary services) protect you from many surprise charges. BillCheck can generate the appeal or negotiation letter for you.
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BillCheck provides informational analysis only and is not legal, medical, or financial advice. Verify all details before submitting any correspondence to insurers or providers. Prices shown are typical ranges and vary by region, payer, and facility.