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Delaware rates for HCPCS 77301

Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications

Facilitymedian $479 · 10th–90th $380–$9770%10%20%10th90th$479Professionalmedian $1,479 · 10th–90th $398–$3,6310%5%10th90th$1,479$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
$380.19 / $478.63 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,041.74 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$346.74 / $436.52 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,122.02 / $1,584.89 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,238.72 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$263.03 / $467.74 / $741.31
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,096.48 / $1,778.28 / $2,630.27
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$426.58 / $436.52 / $776.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,905.46 / $4,265.80
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$323.59 / $446.68 / $812.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,230.27 / $1,548.82 / $3,311.31