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Proton Beam Radiation Session, Complex

Kentucky rates for HCPCS 77525

Delivers one session of proton beam radiation treatment, which uses charged particles rather than X-rays so that most of the energy is released at the tumor and less passes through into tissue beyond it. This is the more involved version, used where the beam has to be shaped carefully around nearby structures that must be protected. The charge covers a single treatment session.

Rates data updated October 2026.

How much does Proton Beam Radiation Session, Complex cost?

$240

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $1,905 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$240$200 to $1,122
FacilityA hospital or hospital-owned outpatient department$1,905$1,549 to $2,570

How much rates vary

Facilitymedian $1,905 · 10th to 90th $1,047 to $3,802Professionalmedian $240 · 10th to 90th $170 to $2,570
$50$100$200$500$1K$2K$5Kfacility $1,905professional $240

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,344.23
Median
$2,570.40
Typical High
$2,570.40
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$208.93
Typical High
$380.19
CareSource
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$1,047.13
Typical High
$1,621.81
CareSource
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,412.54
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
None
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Molina
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,174.90
Typical High
$1,778.28
3 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$478.63
Median
$537.03
Typical High
$676.08
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$194.98
Median
$213.80
Typical High
$269.15
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$831.76
Median
$851.14
Typical High
$851.14

Where Kentucky sits

The same service costs 70.8 times more in Alaska than in New York. 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.

Kentucky· 50th of 51

$240

AK $4,786NY $67.61

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.