CPT 77290 Fee Schedule

Medicare rates as of October 2026

CPT 77290 is classified under Radiology Procedures, in the Radiation Oncology Treatment subgroup.

Set Radiation Therapy Field, Obtaining Data Needed To Develop The Optimal Radiation Treatment 3 Or More Treatment Areas Or Any Number Of Treatment Areas Where Special Treatment Is Involved

Key Fact	Detail
Service Type	Radiology Procedures Radiation Oncology Treatment
Common Place of Service	22 - On Campus Outpatient Hospital 11 - Office
Common Modifiers	26 - Professional component TC - Technical component
Complexity Level	Moderate
Medicare Fee Schedule	$441.56 national non-facility rate (2026) · View Medicare rates for 77290
Medicaid Fee Schedule	$359.53 median of the 8 states in the free preview · View Medicaid rates for 77290

National average reimbursement for CPT 77290 by major payers:

$523.56

BCBS / Anthem

$583.80

UnitedHealthcare

$620.77

Aetna

$686.51

Cigna

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CPT 77290

5 of 25 sample ratesHigher to lower in this preview

Ralph Pickard
Advocate Health And Hospitals Corporation
COPediatric Radiology PhysicianNPI 1780655795Tax ID 36-2169147
$861.17Published rate
Amalia Stefanou
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLColon & Rectal Surgery PhysicianNPI 1477673630Tax ID 59-3238640
$540.60Published rate
Mikel Mineo
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLGerontology Nurse PractitionerNPI 1235838012Tax ID 59-3238640
$459.51Published rate
Roman Gonta
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLHematology (Pathology) PhysicianNPI 1821585431Tax ID 59-3238640
$114.19Published rate
Natalie Horback
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLStudent in an Organized Health Care Education/Training ProgramNPI 1679258958Tax ID 59-3238640
$97.06Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 77290 vs. Other Radiation Oncology Treatment Codes

The table lists codes related to 77290. Select one to see its fee schedule.

Code	Complexity	Description
77280-CPT	Moderate	Radiation Treatment Simulation, Simulation Of A Radiation Treatment Plan. The Exercise Ensures That The Plan Correctly And Precisely Locates And Marks The Target Area.
77285-CPT	Moderate	Radiation Treatment Simulation, Simulation Of A Radiation Treatment Plan. The Exercise Ensures That The Plan Correctly And Precisely Locates And Marks The Target Area.
77290-CPT	Moderate	Set Radiation Therapy Field, Obtaining Data Needed To Develop The Optimal Radiation Treatment 3 Or More Treatment Areas Or Any Number Of Treatment Areas Where Special Treatment Is Involved
77293-CPT	Moderate	Radiation Treatment Simulation, Simulation Of Respiratory Motion Management. The Exercise Ensures That A High Radiation Dose Will Be Accurately Delivered To The Target While Limiting Exposure To Normal Tissue When Respiration Causes Tumor Motion.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77290. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 77290 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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