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See a sample rate comparisonCPT 77470 Fee Schedule
Medicare rates as of October 2026
CPT 77470 is classified under Radiology Procedures, in the Radiation Oncology Treatment subgroup.
Special Treatment Procedure (E, Special Treatment Procedure (Eg Total Body Irradiationhemibody Irradiation Per Oral Vaginal Coneirradiation) Special Treatment Procedure (Eg To Tal Body Irradiation
| 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 | Low |
| Medicare Fee Schedule | $144.96 national non-facility rate (2026) · View Medicare rates for 77470 |
| Medicaid Fee Schedule | $118.22 median of the 8 states in the free preview · View Medicaid rates for 77470 |
National average reimbursement for CPT 77470 by major payers:
$189.23
BCBS / Anthem
$246.03
UnitedHealthcare
$227.43
Aetna
$267.03
Cigna
Compare published rates across providers.
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CPT 77470
5 of 25 sample ratesHigher to lower in this preview
Kristen Musser
Neuroscience Group Of Northeast Wisconsin, S.C.
$544.02Published rateLisa Truttschel
Neuroscience Group Of Northeast Wisconsin, S.C.
$544.02Published rateDavid Neuenfeldt
Neuroscience Group Of Northeast Wisconsin, S.C.
$442.73Published rateJon Shereck
Northern Arizona Healthcare Corporation
$174.58Published rateKimberly Karrmann
Neuroscience Group Of Northeast Wisconsin, S.C.
$101.27Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 77470 vs. Other Radiation Oncology Treatment Codes
The table lists codes related to 77470. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 77431-CPT | Low | Radiation Therapy Management W, Radiation Therapy Management With Complete Course Of Therapyconsisting Radiation Therapy Managementwith Complete Course Of Therapy |
| 77469-CPT | Moderate | Radiation Treatment Management, Management Of A Radiation Treatment Given During Surgery. |
| 77470-CPT | Low | Special Treatment Procedure (E, Special Treatment Procedure (Eg Total Body Irradiationhemibody Irradiation Per Oral Vaginal Coneirradiation) Special Treatment Procedure (Eg To Tal Body Irradiation |
| 77620-CPT | Moderate | Cancer Treatment Using Heat, Hyperthermia Cancer Treatment Exposes The Body To A Heat Source To Raise The Body Temperature. Hyperthermia Is Most Often Used With Another Form Of Cancer Treatment. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77470. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77470 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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