Data Platform
Sign InTry for Free

CPT 77520 Fee Schedule

Last Verified: December 2025

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.

Proton Beam Delivery To A Sgl Treatment Area, Sgl Port, Custom Block
Key FactDetail
Service Type

Radiology Procedures

Radiation Oncology Treatment

Common Place of Service

11 - Office

Common Modifiers

None

Q1 - Routine clinical service provided in a clinical research study

XE - Separate encounter

Complexity LevelModerate

National average reimbursement for CPT 77520 by major payers:

bcbs

$939.82

uhc

$817.99

aetna

$1,828.58

cigna

$1,353.59

Preview provider-level rates for...
For billing codeCPT 77520
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 77520

United
77520$105.191649641135 - CLAIRE VELTKAMP742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONAZFamily Nurse Practitioner (363LF0000X)
United
77520$2150.521225802655 - ALEXANDER SMITH751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PATXPhysician Assistant (363A00000X)
United
77520$2150.521457027765 - ALEXANDER GOODWIN751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PATXPhysician Assistant (363A00000X)
United
77520$140.001356370571 - DAVID KECKICH742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONAZInfectious Disease Physician (207RI0200X)
United
77520$1137.561821081720 - BAYCARE HOME CARE, INC.593582520 - (FL) BAYCARE HOME CARE INCFLHome Health Agency (251E00000X)
United
77520$140.001255726121 - PHILIPP VON MARSCHALL742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONNCEmergency Medicine Physician (207P00000X)
United
77520$140.001891026381 - NANCY UDALL742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONKSCertified Registered Nurse Anesthetist (367500000X)
United
77520$1137.561821097627 - BAYCARE HOME CARE, INC.593582520 - (FL) BAYCARE HOME CARE INCFLHome Health Agency (251E00000X)
United
77520$140.001376017459 - NICHOLAS FINLINSON742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONIDCertified Registered Nurse Anesthetist (367500000X)
United
77520$1116.301477843449 - LU PAN742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONCTInternal Medicine Physician (207R00000X)
United
77520$140.001154378776 - YURI ZELENIN742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONINAnesthesiology Physician (207L00000X)
United
77520$140.001376089417 - LISA STRAIT742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONAZCertified Registered Nurse Anesthetist (367500000X)
United
77520$1116.301588680516 - JAMES ARTHUR742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONAZFamily Medicine Physician (207Q00000X)
United
77520$1116.301275626939 - IAN LIVINGSTONE742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONAZNeurology Physician (2084N0400X)
United
77520$105.191912451337 - SIREESHA NALLU742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONNYFamily Medicine Physician (207Q00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

Want to see your competitors' rates?

Start your trial today to unlock complete access to provider rates and fee schedules in your area.

Here's what you can do with PayerPrice

Renegotiate your managed care contracts

Benchmark your current rates against market averages to identify opportunities for rate optimization.

Prospect for new business using fee schedules

Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.

Integrate real-time payer data into your workflows

Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.

PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.

CPT 77520 vs. Other Radiation Oncology Treatment Codes

The CPT 77520 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 77520 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.

CodeComplexityDescription
77432-CPTModerateStereotactic Radiation Treatment Management Of Cranial Lesion(S) (Complete Course Of Treatment Consisting Of One Session)
77435-CPTModerateStereotactic Body Radiation Therapy, Treatment Management, Per Treatment Course, To 1 Or More Lesions, Including Image Guidance, Entire Course Not To Exceed 5 Fractions
77520-CPTModerateProton Beam Delivery To A Sgl Treatment Area, Sgl Port, Custom Block
77522-CPTHighProton Treatment Delivery; Simple, With Compensation

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77520. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 77520 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 77520) and we'll show you how you compare in 15 minutes or less.