Complex Radiation Therapy Simulation

Vermont 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?

$708

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $4,898 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$589	$575 to $759
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$4,898	$3,548 to $4,898

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,698 to $9,772Professionalmedian $589 · 10th to 90th $525 to $1,349

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79	Facility	None	$4,897.79	$4,897.79	$4,897.79
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $758.58	Professional	None	$562.34	$562.34	$758.58
BCBS Vermont Setting Facility Modifier None Typical Low $1,479.11 Median $3,388.44 Typical High $10,715.19	Facility	None	$1,479.11	$3,388.44	$10,715.19
BCBS Vermont Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $1,949.84	Professional	None	$575.44	$575.44	$1,949.84
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13	Facility	None	$3,548.13	$3,548.13	$3,548.13
Cigna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $1,659.59	Professional	None	$588.84	$588.84	$1,659.59
United Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $1,348.96	Professional	None	$489.78	$630.96	$1,348.96

Where Vermont 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.

Vermont· 11th of 51

$708

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.