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See a sample rate comparisonCPT 77407 is classified under Radiology Procedures, in the Radiation Oncology Treatment subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Radiation Oncology Treatment |
| Common Place of Service | 11 - Office |
| Common Modifiers | 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 | $309.96 national non-facility rate (2026) · View Medicare rates for 77407 |
| Medicaid Fee Schedule | $244.43 median of the 7 states in the free preview · View Medicaid rates for 77407 |
National average reimbursement for CPT 77407 by major payers:

$239.19
BCBS / Anthem

$227.30
UnitedHealthcare

$196.81
Aetna

$324.90
Cigna
Choose a payer to see a sample of rates for CPT 77407.
Rebeca Stanley
Radiology Associates Of North Texas, PA
Jacquelyn Povilaitis
Northern Arizona Healthcare Corporation
Katherine Ford
Northern Arizona Healthcare Corporation
Judith Hutchinson
Northern Arizona Healthcare Corporation
Da Pediatric Rehabilitation
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 77407 vs. Other Radiation Oncology Treatment Codes
The table lists codes related to 77407. Select one to see its fee schedule.
| 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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