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See a sample rate comparisonCPT 77261 Fee Schedule
CPT 77261 is classified under Radiology Procedures, in the Radiation Oncology Treatment subgroup.
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 | 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 | $57.46 median of the 8 states in the free preview · View Medicaid rates for 77261 |
National average reimbursement for CPT 77261 by major payers:
$103.02
BCBS / Anthem
$87.91
UnitedHealthcare
$89.12
Aetna
$106.78
Cigna
Compare published rates across providers.
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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 table lists codes related to 77261. Select one to see its fee schedule.
| 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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