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Surface Radiation Source Application

Wisconsin rates for HCPCS 77789

Radiation treatment given by placing a sealed radioactive source directly against the surface being treated and holding it in contact so the dose builds up gradually. The source gives off its radiation at a low rate over the treatment period, and tissue deeper down receives far less than the surface itself.

Rates data updated July 2026.

How much rates vary

Facilitymedian $186 · 10th to 90th $91 to $331Professionalmedian $200 · 10th to 90th $200 to $200
$100$200facility $186professional $200

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. 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
26 · Professional part
Typical Low
$91.20
Median
$91.20
Typical High
$128.82
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$162.18
Median
$190.55
Typical High
$302.00
Quartz
Setting
Facility
Modifier
26 · Professional part
Typical Low
$141.25
Median
$380.19
Typical High
$380.19
Security Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$199.53
Median
$199.53
Typical High
$199.53