go back

Texas rates for HCPCS 77300

Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician

Facilitymedian $24 · 10th–90th $22$2040%20%40%10th90th$24Professionalmedian $71 · 10th–90th $26$7410%5%10th90th$71$20.0$100.0$500.0$2.0K$10.0K

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
$21.38 / $22.91 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $165.96 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $93.33 / $645.65
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $33.88 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $67.61 / $91.20
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $33.11 / $44.67
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $52.48 / $83.18
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $83.18 / $112.20
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $97.72 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $79.43 / $134.90
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $38.02 / $64.57
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $42.66 / $70.79
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $562.34 / $562.34
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$21.88 / $23.99 / $43.65
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $109.65 / $758.58
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $53.70 / $331.13
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $47.86 / $95.50
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $33.11 / $54.95
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $120.23 / $131.83
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $75.86 / $128.82
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $38.02 / $61.66
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $41.69 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $85.11 / $112.20
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $37.15 / $57.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $43.65 / $60.26
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $67.61 / $67.61
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $33.11 / $33.11
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67