CPT77066

Diagnostic Mammogram Cost in Nebraska

Dx mammo incl cad bi

$145.96Nebraska physician fee2026 Medicare office rate
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Nebraska Medicare physician rate (2026)

-7.0% vs national

Single statewide locality.

Nebraska (Hospital)
$145.96
Facility physician fee
Private plan est.
$190–$292
~130–200% of Medicare
Cash / self-pay est.
$117–$219
~80–150% of Medicare

Your ZIP in Nebraska

Try a ZIP lookup for your part of Nebraska, from Omaha and Lincoln to Grand Island, Kearney, North Platte, Scottsbluff, and the Sandhills.

What diagnostic mammogram costs at hospitals near you

Everything above is a national average. The hospital you pick in Nebraska moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.

National vs Nebraska

National office$156.98
National hospital (physician)$156.98
Nebraska vs national7% below the national office rate of $156.98

Where Nebraska ranks for this CPT

Rank (lowest physician fee first)#11 of 51
Lowest stateArkansas ($138.55)
Highest stateDistrict of Columbia ($180.69)

Diagnostic Mammogram and how Nebraska is priced

One locality prices all of Nebraska, with low geographic indices typical of the Plains, so Omaha, Lincoln, and the Sandhills ranch country share the same Medicare-approved amounts. The statewide setup means Nebraska's largest metro carries no fee schedule premium over its most remote village. Practice costs in Omaha do run above the rural average, but CMS averages that into one set of factors. Patients can treat the statewide numbers here as applicable anywhere in Nebraska.

Omaha is the state's medical anchor, with an academic medical center of national standing and a market that also serves western Iowa, while Lincoln adds a second urban hub. Outstate Nebraska depends heavily on critical access hospitals, and residents of the Panhandle often find Denver or Rapid City closer than Omaha for specialty care. Long travel distances are simply part of rural care planning here.

This procedure: A diagnostic bilateral mammogram is a focused X-ray examination of both breasts performed because something needs a closer look: a lump, pain, nipple discharge, or an abnormality flagged on a screening mammogram. Unlike screening, a radiologist is typically on site directing extra angled or magnified views in real time, and you often receive results before leaving. Each breast is compressed briefly for each view, and the appointment usually runs 30 to 45 minutes.

What Is Diagnostic Mammogram?

A diagnostic bilateral mammogram is a focused X-ray examination of both breasts performed because something needs a closer look: a lump, pain, nipple discharge, or an abnormality flagged on a screening mammogram. Unlike screening, a radiologist is typically on site directing extra angled or magnified views in real time, and you often receive results before leaving. Each breast is compressed briefly for each view, and the appointment usually runs 30 to 45 minutes.

What Affects the Cost

  • Unlike free screening, diagnostic mammography is subject to deductible and coinsurance on most plans, making the same machines suddenly cost money.
  • Same-day breast ultrasound is frequently added to work up the finding, billed as its own study.
  • 3D tomosynthesis views, now common, add a separate code and charge on top of the 2D study.
  • Hospital breast centers bill facility fees that independent breast imaging centers do not.
  • If a biopsy is recommended, that follow-on procedure with pathology is a substantial next cost.

Questions to Ask Before Booking

  • 1.Does my state or plan waive cost sharing for diagnostic breast imaging, or will I owe deductible and coinsurance?
  • 2.Will ultrasound or 3D views be added today, and what does each cost?
  • 3.What is the facility fee at this breast center compared with an independent imaging center?
  • 4.If a biopsy is recommended, what would that procedure and pathology cost?
  • 5.Can you give me the total for all imaging performed before I leave today?

Diagnostic Mammogram in Nebraska: questions

Nebraska is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 77066 is $145.96 in an office and $145.96 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. Nebraska uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $29 for the office physician line or $29 for the hospital physician line in Nebraska. Medigap may cover that 20%. This is not the hospital facility fee.

No. $145.96 is the Medicare physician allowed amount for CPT 77066. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Nebraska ranks #11 of 51 states on this physician line (7% below the national office rate of $156.98).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.