CPT 77011 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Radiology Procedures • Radiologic Guidance |
| Common Place of Service | • 11 - Office • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • TC - Technical component |
| Complexity Level | Moderate |
National average reimbursement for CPT 77011 by major payers:

$287.71

$371.08

$358.63

$429.31
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 77011 | ||||||
United | 77011 | $274.20 | 1295477974 - HEALTH IMAGING PARTNERS, LLC | 271385885 | TX | Physiological Laboratory (293D00000X) |
United | 77011 | $1122.60 | 1225326127 - NICOLE KURNIK | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WA | Plastic Surgery Physician (208200000X) |
United | 77011 | $201.53 | 1235732702 - NORTHERN ARIZONA HEALTHCARE CORPORATION, NORTHERN ARIZONA HEALTHCARE CHILDREN'S HEALTH CENTER | 742410496 - (AZ) NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Multi-Specialty Clinic/Center (261QM1300X) |
United | 77011 | $101.41 | 1215917091 - SAMUEL KIM | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NY | Neurological Surgery Physician (207T00000X) |
United | 77011 | $146.02 | 1629270731 - DIPAK JANA | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Cardiovascular Disease Physician (207RC0000X) |
United | 77011 | $146.02 | 1427051705 - MOHAMMAD KHEDR | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WI | Critical Care Medicine (Internal Medicine) Physician (207RC0200X) |
United | 77011 | $101.41 | 1083061436 - BONNIE BARBEE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Hospitalist Physician (208M00000X) |
United | 77011 | $101.41 | 1669764924 - DAVID DELMAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | ID | Neurology Physician (2084N0400X) |
United | 77011 | $101.41 | 1831651751 - STEVEN BELCHER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | TX | Certified Registered Nurse Anesthetist (367500000X) |
United | 77011 | $101.41 | 1790002350 - KRISTOPHER DAY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | RI | Surgery Physician (208600000X) |
United | 77011 | $101.41 | 1508128976 - KATHARINE HAWBAKER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Hospice and Palliative Medicine (Internal Medicine) Physician (207RH0002X) |
United | 77011 | $1021.19 | 1861544744 - SUSANN CLINTON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Family Nurse Practitioner (363LF0000X) |
United | 77011 | $1021.19 | 1942763156 - HANNAH FOX | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Emergency Medicine Physician (207P00000X) |
United | 77011 | $55.52 | 1760801823 - SAMUEL WEIMER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Surgery Physician (208600000X) |
United | 77011 | $146.02 | 1053304766 - TIMOTHY KAVANAUGH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Orthopaedic Surgery Physician (207X00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 77011 vs. Other Radiologic Guidance Codes
The CPT 77011 code is part of the Radiology Procedures services used for Radiologic Guidance. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 77011 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 76942-CPT | Low | Ultrasonic Guidance For Needle Placement (Eg, Biopsy, Aspiration, Injection, Localization Device), Imaging Supervision And Interpretation |
| 77003-CPT | Low | Fluoroscopic Guidance And Localization Of Needle Or Catheter Tip For Spine Or Paraspinous Diagnostic Or Therapeutic Injection Procedures (Epidural Or Subarachnoid) (List Separately In Addition To Code For Primary Procedure) (Desc Revised 1/1/2017) |
| 77011-CPT | Moderate | Computed Tomography Guidance For Sterotactic Localization |
| 77012-CPT | Low | Computed Tomography Guidance For Needle Placement (Eg Biopsy Aspiration Injection Localization Device) Radiological Supervision And Interpretation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77011. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77011 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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