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Wyoming rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Facilitymedian $224 · 10th–90th $224–$2240%50%100%$224Professionalmedian $501 · 10th–90th $229–$1,2300%10%10th90th$501$100.0$200.0$500.0$1.0K$2.0K

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
Facility
Modifier
26
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$218.78 / $398.11 / $691.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $269.15 / $660.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,862.09 / $1,862.09
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$467.74 / $870.96 / $870.96
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$524.81 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $851.14 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$288.40 / $371.54 / $812.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $467.74 / $933.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $933.25 / $1,819.70
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$263.03 / $295.12 / $707.95
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $575.44 / $1,096.48