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Minnesota rates for HCPCS 77387

Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed

Facilitymedian $490 · 10th–90th $174–$8910%5%10%10th90th$490Professionalmedian $123 · 10th–90th $62–$4370%10%10th90th$123$1.0$5.0$20.0$100.0$500.0

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
Typical Low / Median / Typical High
$134.90 / $549.54 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $123.03 / $588.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $707.95 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $275.42 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $141.25 / $234.42
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $263.03 / $512.86
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $112.20 / $173.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $407.38 / $870.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $177.83 / $758.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $138.04 / $309.03