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Tennessee rates for HCPCS 77301

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

Facilitymedian $550 · 10th–90th $417$2,6300%20%10th90th$550Professionalmedian $1,380 · 10th–90th $398$2,8180%5%10th90th$1,380$100.0$200.0$500.0$1.0K$2.0K$5.0K$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
$416.87 / $549.54 / $2,137.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,041.74 / $5,248.07
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$354.81 / $467.74 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,047.13 / $1,513.56 / $2,344.23
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,819.70 / $3,467.37
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$323.59 / $407.38 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,412.54 / $3,548.13
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$407.38 / $602.56 / $977.24
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,445.44 / $2,238.72 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,454.71 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$407.38 / $588.84 / $851.14
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,230.27 / $1,905.46 / $3,019.95
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $2,630.27
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,125.38 / $15,488.17 / $15,488.17
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$2,951.21 / $3,467.37 / $3,467.37
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$9,332.54 / $12,302.69 / $12,302.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,137.96 / $3,548.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$398.11 / $467.74 / $794.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,096.48 / $1,659.59 / $2,691.53