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North Carolina rates for HCPCS 77301

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

Facilitymedian $525 · 10th–90th $407$1,2590%20%10th90th$525Professionalmedian $1,318 · 10th–90th $398$3,6310%5%10%10th90th$1,318$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
$407.38 / $524.81 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,137.96 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$354.81 / $512.86 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,230.27 / $1,621.81 / $3,090.30
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $1,548.82
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$316.23 / $549.54 / $1,202.26
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$602.56 / $812.83 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,995.26 / $3,467.37 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,754.23 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$426.58 / $645.65 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,318.26 / $2,290.87 / $3,981.07
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,344.23 / $2,344.23
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $2,041.74 / $4,677.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,570.40 / $4,897.79
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$389.05 / $588.84 / $1,071.52
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,348.96 / $1,995.26 / $3,715.35
Wellcare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $2,630.27
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,125.38 / $14,125.38 / $15,488.17
Wellcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $3,467.37
Wellcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$9,332.54 / $9,332.54 / $12,302.69