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North Carolina rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Facilitymedian $302 · 10th–90th $224$6760%10%20%10th90th$302Professionalmedian $437 · 10th–90th $219$1,0470%5%10%10th90th$437$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$223.87 / $302.00 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $562.34 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$208.93 / $302.00 / $724.44
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $288.40 / $602.56
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $389.05
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$251.19 / $281.84 / $398.11
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$346.74 / $467.74 / $616.60
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$457.09 / $724.44 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $1,071.52 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$234.42 / $363.08 / $602.56
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $616.60 / $1,412.54
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,041.74
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $660.69 / $1,621.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $891.25 / $1,318.26
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$218.78 / $302.00 / $575.44
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $467.74 / $891.25
Wellcare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,412.54 / $1,412.54 / $1,412.54
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,585.78
Wellcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $1,862.09
Wellcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$6,456.54 / $6,456.54 / $6,456.54