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See a sample rate comparisonCPT 77407 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.
Radiation Treatment Delivery, Radiation Treatment Delivery Two Separate Treatment Areas Three Or More Ports On A Single Treatment Area Use Of Multiple Blocks Up To 5 Mev
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Radiation Oncology Treatment |
| Common Place of Service | 11 - Office |
| Common Modifiers | None 59 - Distinct Procedural Service XE - Separate encounter PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 77407 |
| Medicaid Fee Schedule | View Medicaid rates for 77407 |
National average reimbursement for CPT 77407 by major payers:
$239.19
$227.30
$196.81
$324.90
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CPT 77407
5 of 25 sample ratesHigher to lower in this preview
Rebeca Stanley
Radiology Associates Of North Texas, PA
$504.38Published rateJacquelyn Povilaitis
Northern Arizona Healthcare Corporation
$352.79Published rateKatherine Ford
Northern Arizona Healthcare Corporation
$352.79Published rateJudith Hutchinson
Northern Arizona Healthcare Corporation
$246.30Published rateDa Pediatric Rehabilitation
$40.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 77407 vs. Other Radiation Oncology Treatment Codes
The CPT 77407 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 77407 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 |
|---|---|---|
| 77387-CPT | Low | Guidance For Localization Of T, Guidance For Localization Of Target Volume For Delivery Of Radiation Treatment Delivery Includes Intrafraction Tracking When Performed |
| 77402-CPT | Low | Radiology Treat Delivery, Radiation Treatment Delivery Greater Than Or Equal To 1 Mev; Simple (Eg Single-Electron Field Multiple-Electron Fields Or 2d Photons) Including Imaging Guidance When Performed |
| 77407-CPT | Moderate | Radiation Treatment Delivery, Radiation Treatment Delivery Two Separate Treatment Areas Three Or More Ports On A Single Treatment Area Use Of Multiple Blocks Up To 5 Mev |
| 77412-CPT | Moderate | Radiation Tx Delivery Lvl 3, Radiation Treatment Delivery; Level 3 Multiple Isocenters With Photon Therapy (Eg 2d 3d Or Imrt) Or A Single-Isocenter Photon Therapy (Eg 3d Or Imrt) With Active Motion Management Or Total Skin Electrons Or Mixed-Electron/Photon Field(S) Including Imaging Guidance When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77407. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77407 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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