Complex Shaped Radiation Treatment Session

Nationwide rates for HCPCS 77386

One session of radiation treatment in which the beam intensity is varied across the treatment area so the dose closely matches an awkwardly shaped tumor while sparing nearby organs. This is the more involved version, used where the target wraps around or sits close to structures that must be protected, requiring many beam directions and careful shaping. Guidance and tracking to line the patient up are included when used.

Rates data updated July 2026.

How much does Complex Shaped Radiation Treatment Session cost?

$891

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $871 from a physician practice, and about $1,023 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 37 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$871	$437 to $1,445
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$1,023	$589 to $2,344

How much rates vary

Facilitymedian $1,023 · 10th to 90th $398 to $5,370Professionalmedian $871 · 10th to 90th $309 to $2,344

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
BCBS Setting Facility Modifier Global Typical Low $1,174.90 Median $2,089.30 Typical High $5,623.41	Facility	Global	$1,174.90	$2,089.30	$5,623.41
Cigna Setting Facility Modifier Global Typical Low $537.03 Median $2,238.72 Typical High $6,760.83	Facility	Global	$537.03	$2,238.72	$6,760.83
Cigna Setting Professional Modifier Global Typical Low $1,047.13 Median $1,584.89 Typical High $1,995.26	Professional	Global	$1,047.13	$1,584.89	$1,995.26
United Setting Facility Modifier Global Typical Low $234.42 Median $398.11 Typical High $575.44	Facility	Global	$234.42	$398.11	$575.44
United Setting Professional Modifier Global Typical Low $64.57 Median $416.87 Typical High $2,754.23	Professional	Global	$64.57	$416.87	$2,754.23

What it costs in each state

The same service costs 234.4 times more in Georgia than in Idaho. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Touch or drag across the chart to see any state's rate.

GA $7,079ID $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.