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Complex Radiation Therapy Simulation

Delaware rates for HCPCS 77290

Before radiation treatment begins, this session uses imaging to precisely map out the treatment area on the patient's body, accounting for complex anatomy or a treatment plan that requires extra planning detail, such as multiple treatment fields or shielding of nearby healthy structures. The radiation therapy team marks the treatment area and confirms positioning so that radiation can be delivered accurately and consistently at each future session. It represents a more involved planning session than a routine, straightforward simulation.

Rates data updated October 2026.

How much does Complex Radiation Therapy Simulation cost?

$490

Typical negotiated rate. In Delaware, October 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $1,000 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$479$427 to $646
FacilityA hospital or hospital-owned outpatient department$1,000$457 to $1,820

How much rates vary

Facilitymedian $1,000 · 10th to 90th $427 to $1,905Professionalmedian $479 · 10th to 90th $380 to $1,000
$200$500$1K$2Kfacility $1,000professional $479

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$457.09
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$398.11
Median
$478.63
Typical High
$645.65
Cigna
Setting
Facility
Modifier
None
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$354.81
Median
$478.63
Typical High
$891.25
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$64.57
Median
$75.86
Typical High
$144.54
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$288.40
Median
$398.11
Typical High
$676.08
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$1,819.70
Typical High
$1,949.84
Highmark BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$398.11
Median
$489.78
Typical High
$1,071.52

Where Delaware sits

The same service costs 4.6 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Delaware· 42nd of 51

$490

AK $1,698TX $372

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.