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California rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Facilitymedian $398 · 10th–90th $219$1,4450%10%20%10th90th$398Professionalmedian $513 · 10th–90th $224$1,6980%10%10th90th$513$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$208.93 / $398.11 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $691.83 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$208.93 / $380.19 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $380.19 / $1,659.59
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $562.34 / $1,318.26
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$218.78 / $501.19 / $549.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,122.02 / $2,187.76
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$245.47 / $331.13 / $660.69
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$398.11 / $676.08 / $1,698.24
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,023.29 / $2,187.76
Blue Shield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$269.15 / $380.19 / $831.76
Blue Shield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$436.52 / $630.96 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $776.25 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$194.98 / $288.40 / $588.84
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $478.63 / $1,174.90
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $630.96 / $851.14
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$186.21 / $269.15 / $363.08
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $363.08 / $489.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $630.96 / $1,258.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$229.09 / $316.23 / $512.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $407.38 / $691.83
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,412.54 / $1,412.54 / $1,412.54
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,585.78
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$1,698.24 / $1,862.09 / $1,862.09
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$6,456.54 / $6,456.54 / $6,456.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $234.42 / $549.54
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $776.25 / $1,621.81
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$194.98 / $281.84 / $588.84
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $478.63 / $1,202.26
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $1,621.81
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$891.25 / $891.25 / $891.25
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $707.95 / $1,995.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $691.83 / $1,548.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$177.83 / $288.40 / $602.56
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $371.54 / $1,023.29