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New York rates for HCPCS 77431

Radiation therapy management with complete course of therapy consisting of 1 or 2 fractions only

Facilitymedian $282 · 10th–90th $132$6310%10%20%10th90th$282Professionalmedian $129 · 10th–90th $89$2880%10%20%10th90th$129$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
Typical Low / Median / Typical High
$144.54 / $281.84 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $134.90 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $104.71 / $269.15
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $724.44 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $158.49 / $446.68
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $144.54 / $416.87
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $147.91 / $229.09
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $109.65 / $218.78
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $199.53 / $218.78
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $213.80 / $53,703.18
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $147.91 / $239.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $467.74 / $478.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $138.04 / $346.74
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $89.13 / $257.04
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $134.90 / $316.23