How much does Medicare pay for CPT 77307?

Medicare allowed an average of $178.50 per service and paid $141.79 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $736.25, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 77307?

Complex radiation therapy planning for delivery of external radiation. It was billed 9,527 times to 8,701 Medicare beneficiaries by 481 providers in 2024.

Does 77307 pay differently in an office than a hospital?

Yes. The allowed amount averaged $239.20 in an office setting and $150.19 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 77307 most?

Radiation Oncology, with 9,263 services from 469 clinicians. Next are Radiation Therapy Center, Diagnostic Radiology, Hematology-Oncology.

CPT 77307

Complex radiation therapy planning for delivery of external radiation

$178.50Medicare-allowed amount per service, averaged across 9,527 services

Providers submitted

$736.25

Asking price, not received

Medicare allowed

$178.50

The fee schedule figure

Medicare paid

$141.79

Balance is patient coinsurance

Providers submitted an average of $736.25 for this code and Medicare allowed $178.50 — 4.1× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $141.79 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $239.20
Hospital / facility: $150.19

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 3,030 services were billed in an office setting and 6,497 in a facility.

Services: 9,527
Beneficiaries: 8,701
Providers billing it: 481
Total allowed: $1,700,570

What Medicare pays for CPT 77307

Across 9,527 services billed by 481 providers to 8,701 beneficiaries, Medicare allowed an average of $178.50 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 77307

Specialty	Services	Beneficiaries	Avg allowed	Providers
Radiation Oncology	9,263	8,462	$178.98	469
Radiation Therapy Center	141	129	$173.57	6
Diagnostic Radiology	107	95	$148.22	5
Hematology-Oncology	16	15	$143.47	1

77307 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
New Jersey	841	$194.75	$140.24	32
Pennsylvania	808	$170.70	$132.31	46
Illinois	742	$173.82	$133.77	33
Texas	637	$237.00	$196.62	23
California	625	$213.64	$150.26	31
Michigan	610	$154.99	$123.59	27
Massachusetts	444	$169.27	$126.52	26
New York	439	$176.29	$129.23	22
Tennessee	420	$168.33	$140.59	18
Maryland	308	$189.62	$139.27	16
Florida	297	$212.60	$165.26	18
North Carolina	264	$141.76	$117.91	14
Ohio	253	$183.44	$152.35	15
Indiana	231	$152.27	$128.95	13
Alabama	218	$198.75	$167.07	13
Connecticut	186	$152.39	$113.59	10
Missouri	177	$153.04	$124.45	11
Virginia	176	$146.93	$117.02	11
Georgia	126	$167.94	$138.10	8
Louisiana	117	$141.47	$118.68	4
Arkansas	110	$164.65	$140.63	5
Iowa	104	$144.83	$117.89	5
Oklahoma	102	$185.29	$154.43	5
Kansas	97	$141.03	$118.12	4
South Carolina	94	$199.50	$161.92	7
Minnesota	94	$184.66	$148.77	6
Washington	93	$148.31	$118.12	6
Wisconsin	90	$147.28	$117.71	5
Nebraska	88	$182.17	$153.31	3
Mississippi	81	$136.31	$112.72	4
Vermont	79	$145.85	$115.80	4
South Dakota	64	$145.62	$117.76	4
Montana	59	$149.78	$116.47	3
Alaska	56	$223.62	$146.13	3
Idaho	47	$143.98	$117.66	2
New Hampshire	42	$141.42	$112.99	3
Oregon	39	$145.58	$118.17	3
Delaware	39	$148.13	$114.73	3
Arizona	39	$277.05	$224.02	2
Nevada	36	$191.94	$151.93	3
West Virginia	34	$143.75	$114.56	2
Kentucky	34	$141.00	$114.14	2
Colorado	33	$151.53	$117.99	2
Rhode Island	26	$220.52	$170.73	2
Hawaii	17	$153.97	$117.54	1
Maine	11	$147.40	$118.05	1

Related codes

77300Calculation of radiation therapy dose$41.81
77334Design and construction of complex radiation treatment device$75.55
77336Continuing radiation therapy consultation per week$87.27
77338Design and construction of radiation treatment device for high precisi$294.26
77301High precision radiation therapy planning$830.13
77332Design and construction of simple radiation treatment device$30.27
77373Cranial lesion surgery$965.17
77331Special radiation therapy planning$51.76
77370Special medical radiation therapy consultation$146.53
77333Design and construction of intermediate radiation treatment device$73.71
77321Special radiation therapy planning for delivery of external radiation$66.64
77318Complex radiation therapy planning for delivery of internal radiation$389.02

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.