# CPT 77295: 3D radiotherapy treatment plan, including dose-volume histograms

Medicare CPT 77295 pays $485.32 in a non-facility setting and $485.32 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $433.70 in Arkansas to $573.30 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/77295-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $485.32 |
| National facility | $485.32 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $573.30 | $573.30 |
| District of Columbia | $553.85 | $553.85 |
| California | $548.32 | $548.32 |
| New Jersey | $535.70 | $535.70 |
| Washington | $535.18 | $535.18 |
| New York | $533.93 | $533.93 |
| Massachusetts | $529.65 | $529.65 |
| Hawaii | $528.02 | $528.02 |
| Connecticut | $515.84 | $515.84 |
| Colorado | $506.75 | $506.75 |
| Oregon | $502.18 | $502.18 |
| Maryland | $502.11 | $502.11 |
| Rhode Island | $498.20 | $498.20 |
| New Hampshire | $498.10 | $498.10 |
| Florida | $494.34 | $494.34 |
| Minnesota | $489.22 | $489.22 |
| Puerto Rico | $488.90 | $488.90 |
| Virgin Islands | $488.90 | $488.90 |
| Montana | $485.30 | $485.30 |
| Nevada | $484.26 | $484.26 |
| Wyoming | $483.14 | $483.14 |
| Illinois | $482.03 | $482.03 |
| Delaware | $481.12 | $481.12 |
| North Dakota | $480.36 | $480.36 |
| Texas | $480.26 | $480.26 |
| Pennsylvania | $480.23 | $480.23 |
| South Dakota | $479.77 | $479.77 |
| Vermont | $477.82 | $477.82 |
| Virginia | $477.13 | $477.13 |
| Arizona | $473.65 | $473.65 |
| Georgia | $471.65 | $471.65 |
| Michigan | $468.14 | $468.14 |
| Maine | $467.19 | $467.19 |
| Wisconsin | $465.37 | $465.37 |
| Utah | $464.22 | $464.22 |
| North Carolina | $459.70 | $459.70 |
| New Mexico | $458.99 | $458.99 |
| South Carolina | $458.42 | $458.42 |
| Missouri | $457.41 | $457.41 |
| Indiana | $456.40 | $456.40 |
| Louisiana | $456.36 | $456.36 |
| Ohio | $456.03 | $456.03 |
| Nebraska | $454.15 | $454.15 |
| Idaho | $453.93 | $453.93 |
| Iowa | $451.61 | $451.61 |
| Tennessee | $450.75 | $450.75 |
| Kansas | $448.79 | $448.79 |
| Oklahoma | $447.36 | $447.36 |
| Kentucky | $447.16 | $447.16 |
| West Virginia | $444.72 | $444.72 |
| Alabama | $439.52 | $439.52 |
| Mississippi | $436.24 | $436.24 |
| Arkansas | $433.70 | $433.70 |

## Related codes

- 76932: Ultrasound guidance for endomyocardial biopsy — https://www.med-reveal.com/rates/76932-cpt-fee-schedule
- 76936: Ultrasound guidance for vascular access compression repair — https://www.med-reveal.com/rates/76936-cpt-fee-schedule
- 76940: Ultrasound guidance for tissue ablation — https://www.med-reveal.com/rates/76940-cpt-fee-schedule
- 76941: Ultrasound guidance for intrauterine fetal transfusion or procedure — https://www.med-reveal.com/rates/76941-cpt-fee-schedule
- 76942: Ultrasound guidance for needle placement — https://www.med-reveal.com/rates/76942-cpt-fee-schedule
- 76965: Ultrasound guidance for interstitial radioelement application — https://www.med-reveal.com/rates/76965-cpt-fee-schedule
- 76975: Ultrasound guidance for gastrointestinal endoscopic procedure — https://www.med-reveal.com/rates/76975-cpt-fee-schedule
- 77001: Fluoroscopic guidance for central venous access device placement — https://www.med-reveal.com/rates/77001-cpt-fee-schedule

Commercial negotiated rates for 77295 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules