FairBillCheck

CPT 77080: what Medicare pays in 2026

Imaging

Medicare's 2026 national amount for 77080 is $39.41 when a doctor's office or clinic bills it. Across Medicare's 109 payment localities the office amount runs from $34.57 in Arkansas to $54.01 in San Jose-Sunnyvale-Santa Clara (San Benito County), CA.

CPT descriptions are copyrighted by the American Medical Association, so this page shows the code number only. The description printed on your bill, or the provider, will tell you what the code covers.

Medicare amounts for 77080 in 2026

Doctor's office or clinic, national
$39.41
Professional part only (modifier 26), office, national
$9.35
Technical part only (modifier TC), office, national
$30.06
Hospital outpatient rate, national (APC 5522)
$106.81
Hospital outpatient status S
separately paid procedure

Hospital outpatient rates are national figures before Medicare's wage adjustment, which moves about 60% of the rate up or down with local hospital wages.

What providers charged Medicare for 77080 in 2024

From CMS's national utilization file (the most recent full year published). The charge is the provider's list price, the same kind of figure an uninsured patient is usually billed.

SettingServicesAverage chargeMedicare allowedCharge vs allowed
In an office or other non-facility setting1,705,306$219.45$29.747.4×
In a facility setting1,166,948$64.36$9.157.0×

How Medicare builds the 77080 amount

Each physician fee schedule amount is three relative value units (RVUs), each multiplied by the locality's cost index, added up and multiplied by the 2026 conversion factor of $33.4009.

Work RVU
0.20
Practice expense RVU, office
0.96
Malpractice RVU
0.02

77080 in every Medicare locality

The office amount is lowest in Arkansas and highest in San Jose-Sunnyvale-Santa Clara (San Benito County), CA.

StateLocalityOfficeFacility
AKAlaska$44.54none
ALAlabama$35.12none
ARArkansas$34.57none
AZArizona$38.32none
CABakersfield$42.36none
CAChico$42.29none
CAEl Centro$42.30none
CAFresno$42.29none
CAHanford-Corcoran$42.29none
CALos Angeles-Long Beach-Anaheim (Los Angeles/Orange County)$45.33none
CAMadera$42.29none
CAMerced$42.29none
CAModesto$42.29none
CANapa$49.70none
CAOxnard-Thousand Oaks-Ventura$45.18none
CARedding$42.29none
CARest of California$42.29none
CARiverside-San Bernardino-Ontario$42.51none
CASacramento-Roseville-Folsom$44.57none
CASalinas$44.41none
CASan Diego-Chula Vista-Carlsbad$45.59none
CASan Francisco-Oakland-Berkeley (Marin County)$52.83none
CASan Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa County)$52.81none
CASan Jose-Sunnyvale-Santa Clara (San Benito County)$54.01none
CASan Jose-Sunnyvale-Santa Clara (Santa Clara County)$53.92none
CASan Luis Obispo-Paso Robles$43.67none
CASanta Cruz-Watsonville$46.14none
CASanta Maria-Santa Barbara$44.61none
CASanta Rosa-Petaluma$46.61none
CAStockton$42.29none
CAVallejo$49.67none
CAVisalia$42.29none
CAYuba City$42.29none
COColorado$41.40none
CTConnecticut$42.16none
DCDC + MD/VA Suburbs$45.56none
DEDelaware$38.99none
FLFort Lauderdale$40.37none
FLMiami$41.75none
FLRest of Florida$38.34none
GAAtlanta$40.08none
GARest of Georgia$36.08none
HIHawaii, Guam$43.52none
IAIowa$36.28none
IDIdaho$36.50none
ILChicago$40.49none
ILEast St. Louis$37.53none
ILRest of Illinois$37.00none
ILSuburban Chicago$40.84none
INIndiana$36.73none
KSKansas$36.00none
KYKentucky$35.80none
LANew Orleans$37.61none
LARest of Louisiana$35.70none
MAMetropolitan Boston$45.83none
MARest of Massachusetts$41.08none
MDBaltimore/Surrounding Counties$42.02none
MDRest of Maryland$39.81none
MERest of Maine$36.60none
MESouthern Maine$38.88none
MIDetroit$38.75none
MIRest of Michigan$36.71none
MNMinnesota$39.87none
MOMetropolitan Kansas City$37.44none
MOMetropolitan St. Louis$37.88none
MORest of Missouri$34.97none
MSMississippi$34.78none
MTMontana$39.41none
NCNorth Carolina$37.02none
NDNorth Dakota$39.02none
NENebraska$36.53none
NHNew Hampshire$40.64none
NJNorthern NJ$45.01none
NJRest of New Jersey$42.70none
NMNew Mexico$36.89none
NVNevada$39.33none
NYManhattan$45.43none
NYNYC Suburbs/Long Island$46.47none
NYPoughkeepsie/Northern NYC Suburbs$42.90none
NYQueens$45.97none
NYRest of New York$37.61none
OHOhio$36.63none
OKOklahoma$35.83none
ORPortland$42.91none
ORRest of Oregon$39.09none
PAMetropolitan Philadelphia$40.98none
PARest of Pennsylvania$36.75none
PRPuerto Rico$39.76none
RIRhode Island$40.53none
SCSouth Carolina$36.88none
SDSouth Dakota$38.97none
TNTennessee$36.19none
TXAustin$41.21none
TXBeaumont$36.48none
TXBrazoria$39.03none
TXDallas$39.25none
TXFort Worth$38.94none
TXGalveston$39.13none
TXHouston$39.49none
TXRest of Texas$37.71none
UTUtah$37.42none
VAVirginia$38.67none
VIVirgin Islands$39.76none
VTVermont$38.76none
WARest of Washington$41.04none
WASeattle (King County)$46.90none
WIWisconsin$37.60none
WVWest Virginia$35.50none
WYWyoming$39.24none

Other imaging codes