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See a sample rate comparisonCPT 77261 Fee Schedule
Last Verified: September 2026
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.
Therapeutic Radiology Treatmen, Therapeutic Radiology Treatment Planning Simpletherapeutic Radiology Treatment Planning Simple
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Radiation Oncology Treatment |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None GT - Via interactive audio and video telecommunication systems 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 77261 |
| Medicaid Fee Schedule | View Medicaid rates for 77261 |
National average reimbursement for CPT 77261 by major payers:
$103.02
$87.91
$89.12
$106.78
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CPT 77261
5 of 25 sample ratesHigher to lower in this preview
Tony Alias
Radiology Associates Of North Texas, PA
$193.08Published rateJohn Jesseph
Northern Arizona Healthcare Corporation
$118.19Published rateYan Ortiz-Pomales
Northern Arizona Healthcare Corporation
$118.19Published rateArpana Gupta
Northern Arizona Healthcare Corporation
$92.02Published rateAnn Steck
Toledo Hospital
$72.05Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 77261 vs. Other Radiation Oncology Treatment Codes
The CPT 77261 code is part of the Radiology Procedures services used for Radiation Oncology Treatment. 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 77261 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 |
|---|---|---|
| 77261-CPT | Low | Therapeutic Radiology Treatmen, Therapeutic Radiology Treatment Planning Simpletherapeutic Radiology Treatment Planning Simple |
| 77262-CPT | Low | Therapeutic Radiology Treatmen, Therapeutic Radiology Treatment Planning Intermediatetherapeutic Radiology Treatment Planning Intermediate |
| 77263-CPT | Moderate | Therapeutic Radiology Treatmen, Therapeutic Radiology Treatment Planning Complextherapeutic Radiology Treatment Planning Complex |
| 77300-CPT | Low | Radiation Therapy Dose Plan, Basic Radiation Dosimetry Calculation Central Axis Depth Dose Calculation Tdf Nsd Gap Calculation Off Axis Factor Tissue Inhomogeneity Factors Calculation Of Non Ionizing Radiation Surface And Depth Dose As Required During Course Of Treatment Only When Prescribed By The Treating Physician |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77261. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77261 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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