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 comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Radiation Oncology Treatment |
| Common Place of Service | 22 - On Campus Outpatient Hospital 19 - Off Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 77799 |
National average reimbursement for CPT 77799 by major payers:

$247.72

$64.85

$572.95

$687.00
Choose a payer to see a sample of rates for CPT 77799.
Washington Hospital Center Corporation
Ethicus Hospital Dfw
Lexington Health Inc
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 77799 vs. Other Radiation Oncology Treatment Codes
The CPT 77799 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 77799 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 |
|---|---|---|
| 77750-CPT | Moderate | Infus Or Nstillation Of Radioelement Solution (Inclu 3-Month Fo, Infusion Or Instillation Of Radioelement Solution (Includes 3-Month Fo |
| 77778-CPT | High | Apply Interstit Radiat Compl, Interstitial Radiation Source Application Complex Includes Supervision Handling Loading Of Radiation Source When Performed |
| 77790-CPT | Low | Radioactive Material Handling, Supervision Handling And Loading Of Radioactive Materials Implanted For Radiation Therapy. |
| 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 77799. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77799 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.
Bring your top codes (like CPT 77799) and we'll show you how you compare in 15 minutes or less.