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Proton Beam Radiation Session, Complex

South Dakota 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?

$2,188

Typical physician fee. In South Dakota, October 2026.

Insurers have agreed to pay about $2,188 for this service. Most negotiated rates run $1,479 to $2,399.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,820 · 10th to 90th $1,549 to $2,951Professionalmedian $2,188 · 10th to 90th $1,288 to $2,951
$1K$2Kfacility $1,820professional $2,188

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
Professional
Modifier
None
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$2,398.83
Typical High
$2,951.21
Medica
Setting
Facility
Modifier
None
Typical Low
$1,548.82
Median
$1,819.70
Typical High
$2,951.21
Medica
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$2,187.76
Typical High
$2,511.89
United
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,412.54
Typical High
$2,344.23
1 more rate 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
Facility
Modifier
53 · Discontinued
Typical Low
$234.42
Median
$234.42
Typical High
$363.08

Where South Dakota 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.

South Dakota· 9th of 51

$2,188

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.