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Proton Beam Radiation Session, Complex

North Carolina 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 July 2026.

How much does Proton Beam Radiation Session, Complex cost?

$2,291

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $2,291 for this service. The price depends on where it is billed: about $2,042 from a physician practice, and about $5,495 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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,042$1,349 to $2,570
FacilityA hospital or hospital-owned outpatient department$5,495$1,950 to $6,166

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,072 to $6,166Professionalmedian $2,042 · 10th to 90th $933 to $2,570
$1K$2K$5K$10Kfacility $5,495professional $2,042

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$6,165.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$2,344.23
Typical High
$2,570.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,659.59
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$5,754.40
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,148.15
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,348.96
Typical High
$2,570.40
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$9,549.93
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$11,481.54
Median
$11,481.54
Typical High
$11,481.54

Where North Carolina sits

The same service costs 17.4 times more in Washington, DC than in Ohio. 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.

North Carolina· 16th of 51

$2,291

DC $4,898OH $282

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.