CPT 77301 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Radiology Procedures • Radiation Oncology Treatment |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 11 - Office |
| Common Modifiers | • None • 26 - Professional component • TC - Technical component |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 77301 |
National average reimbursement for CPT 77301 by major payers:

$2,040.39

$2,317.81

$2,476.85

$2,840.65
| 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 77301 | ||||||
United | 77301 | $5037.64 | 1538588991 - AMIR TALEBI LIASI | 954457756 - (CA) CEDARS-SINAI MEDICAL CARE FOUNDATION | CA | Diagnostic Radiology Physician (2085R0202X) |
United | 77301 | $4563.31 | 1801817499 - PATRICK KELLER | 391101572 - (WI) RADIOLOGY-WAUKESHA, S.C. | WI | Diagnostic Radiology Physician (2085R0202X) |
United | 77301 | $4617.97 | 1609863240 - ALAN CHAN | 910214500 - THE EVERETT CLINIC, PLLC | WA | Diagnostic Radiology Physician (2085R0202X) |
United | 77301 | $4353.56 | 1851852636 - ALYSSA ZIMNY | 272042610 - FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC | WI | Diagnostic Radiology Physician (2085R0202X) |
United | 77301 | $4239.60 | 1528284155 - KATHLEEN BHATT | 272042610 - FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC | WI | Diagnostic Radiology Physician (2085R0202X) |
United | 77301 | $1622.89 | 1932218625 - ERIC FRIEDBERG | 582030692 - EMORY UNIVERSITY | NJ | Diagnostic Radiology Physician (2085R0202X) |
United | 77301 | $3536.97 | 1497911275 - MICHAEL CHRISTENSEN | 202208109 - (WI) RADIATION ONCOLOGY ASSOCIATES, LTD. | WI | Radiation Oncology Physician (2085R0001X) |
United | 77301 | $488.52 | 1790096592 - RAHUL SAWLANI | 112419534 - (NY) NORTH SHORE HEMATOLOGY-ONCOLOGY ASSOCIATES, P.C. | WI | Diagnostic Radiology Physician (2085R0202X) |
United | 77301 | $1529.55 | 1740333780 - JOSHUA SMITH | 391696443 - LAKESHORE MEDICAL CLINIC, LTD. | WI | Diagnostic Radiology Physician (2085R0202X) |
United | 77301 | $884.78 | 1679504229 - JEFFREY MILLER | 133544120 - CAREMOUNT MEDICAL, P.C. | CA | Diagnostic Radiology Physician (2085R0202X) |
United | 77301 | $1529.55 | 1396823878 - MARK GLAZER | 391678306 - AURORA MEDICAL GROUP INC | WI | Diagnostic Radiology Physician (2085R0202X) |
United | 77301 | $9026.26 | 1295146108 - VIRAL PATEL | 581537752 - EMORY UNIVERSITY | GA | Diagnostic Radiology Physician (2085R0202X) |
United | 77301 | $340.42 | 1952477929 - DANIEL GIBSON | 351278550 - (IN) INDIANAPOLIS NEUROSURGICAL GRP, P.C DBA GOODMAN CAMPBELL BRAIN & SPINE | IN | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 77301 | $1947.47 | 1003806381 - PAUL GUISLER | 582030692 - EMORY UNIVERSITY | MN | Diagnostic Radiology Physician (2085R0202X) |
United | 77301 | $7952.64 | 1427287549 - NICHOLAS MARINELLI | 391678306 - AURORA MEDICAL GROUP INC | WI | Diagnostic Radiology Physician (2085R0202X) |
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 77301 vs. Other Radiation Oncology Treatment Codes
The CPT 77301 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 77301 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 |
|---|---|---|
| 77262-CPT | Low | Therapeutc X-Ray Tx Planning;Interm |
| 77263-CPT | Moderate | Therapeutic Radiology Tx Planning;Comple |
| 77295-CPT | Moderate | 3-Dimensional Radiotherapy Plan Including Dose-Volume Histograms (Revised 01/01/2014) |
| 77301-CPT | High | Intensity Modulated Radiotherapy Plan, Including Dose-Volume Histograms For Target And Critical Structure Partial Tolerance Specifications |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77301. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77301 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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