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See a sample rate comparisonCPT 77295 Fee Schedule
Medicare rates as of October 2026
CPT 77295 is classified under Radiology Procedures, in the Radiation Oncology Treatment subgroup.
Radiation Treatment Simulation, Simulation Of A Radiation Treatment Plan That Includes A 3-D Representation Of A Tumor Created From A Ct Scan Or Mri.
| 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 | $485.32 national non-facility rate (2026) · View Medicare rates for 77295 |
| Medicaid Fee Schedule | $393.985 median of the 8 states in the free preview · View Medicaid rates for 77295 |
National average reimbursement for CPT 77295 by major payers:
$608.33
BCBS / Anthem
$746.87
UnitedHealthcare
$715.35
Aetna
$829.09
Cigna
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CPT 77295
5 of 25 sample ratesHigher to lower in this preview
Parish Hospital Service District For The Parish Of Orleans, New Orleans East Hospital
$2,239.54Published rateRolling Plains Memorial Hospital
The Nolan County Hospital District
$873.02Published rateTitus County Hospital District, Titus Regional Medical Center
$446.29Published rateBsa Hospital LLC
$265.61Published rateChristus Spohn Health System Corporation, Christus Spohn Hospital Kleberg
C H Wilkinson Physician Network
$189.35Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 77295 vs. Other Radiation Oncology Treatment Codes
The table lists codes related to 77295. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 77295-CPT | Moderate | Radiation Treatment Simulation, Simulation Of A Radiation Treatment Plan That Includes A 3-D Representation Of A Tumor Created From A Ct Scan Or Mri. |
| 77295-CPT | Moderate | Radiation Treatment Simulation, Simulation Of A Radiation Treatment Plan That Includes A 3-D Representation Of A Tumor Created From A Ct Scan Or Mri. |
| 77301-CPT | High | Radiation Treatment Plan, An Intensity-Modulated Radiation Therapy (Imrt) Plan Constructs A Precise 3-D Map Of A Tumor. Radiation Doses Are Targeted To The Mapped Area And Vary By The Tumor Thickness. |
| 77307-CPT | Moderate | Telethx Isodose Plan Cplx, Teletherapy Isodose Plan Complex Multiple Treatment Areas Tangential Ports The Use Of Wedges Blocking Rotational Beam Or Special Beam Considerations Includes Basic Dosimetry Calculation S |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77295. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77295 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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