Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 77499 Fee Schedule
CPT 77499 is classified under Radiology Procedures, in the Radiation Oncology Treatment subgroup.
Unlisted Procedure Therapeuti, Unlisted Procedure Therapeutic Radiology Clinicaltreatmentmanagement Unlisted Procedure Therapeu Tic Radiology Clinical Treatment
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Radiation Oncology Treatment |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | X4 - Episodic/focused services TC - Technical component |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 77499 |
| Medicaid Fee Schedule | View Medicaid rates for 77499 |
National average reimbursement for CPT 77499 by major payers:
$1,073.12
BCBS / Anthem
$63.99
UnitedHealthcare
$199.80
Aetna
$1,372.31
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 77499.
CPT 77499
5 of 25 sample ratesHigher to lower in this preview
Restorative Health Rehabilitation Inc
$60.00Published rateAll Ways Homecare Inc
$55.00Published rateDa Pediatric Rehabilitation
$40.00Published rateRestorative Health Rehabilitation Inc
$35.00Published rateRestorative Health Rehabilitation Inc
$35.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 77499 vs. Other Radiation Oncology Treatment Codes
The table lists codes related to 77499. 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 |
| 77435-CPT | Moderate | Radiation Treatment Management, Physician Review And Management Of All Aspects Of Stereotactic Radiation Therapy From Dose Calculation And Delivery To Care Supervision. Stereotactic Imaging Is Used To Precisely Map The Target Location In Three Dimensions. |
| 77499-CPT | High | Unlisted Procedure Therapeuti, Unlisted Procedure Therapeutic Radiology Clinicaltreatmentmanagement Unlisted Procedure Therapeu Tic Radiology Clinical Treatment |
| 77799-CPT | Moderate | Implant Radiation, Radioactive Material Is Placed Inside The Body Near A Tumor. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77499. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77499 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 77499) and we'll show you how you compare in 15 minutes or less.