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Vermont rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Facilitymedian $1,349 · 10th–90th $1,349–$1,3490%50%100%$1,349Professionalmedian $575 · 10th–90th $234–$1,2300%20%10th90th$575$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $616.60 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$229.09 / $562.34 / $575.44
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $380.19 / $660.69
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,348.96 / $1,348.96 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$295.12 / $295.12 / $954.99
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $912.01 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$288.40 / $302.00 / $691.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $380.19 / $912.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $1,023.29 / $2,290.87
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$229.09 / $302.00 / $562.34
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $501.19 / $1,202.26