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Tennessee rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Facilitymedian $316 · 10th–90th $224$2,7540%20%10th90th$316Professionalmedian $347 · 10th–90th $209$8130%5%10%10th90th$347$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 / $316.23 / $2,754.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $512.86 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$190.55 / $251.19 / $588.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $269.15 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $436.52 / $524.81
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$173.78 / $234.42 / $398.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $245.47 / $891.25
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$218.78 / $323.59 / $524.81
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $407.38 / $602.56
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $741.31 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$218.78 / $323.59 / $467.74
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $380.19 / $1,230.27
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
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $660.69 / $1,318.26
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$218.78 / $263.03 / $436.52
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $331.13 / $1,071.52