# CPT 77387: Guidance for localization of target volume for radiation therapy, image-guided

Medicare CPT 77387 pays $36.41 in a non-facility setting and $36.41 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $34.13 in Arkansas to $48.14 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/77387-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $36.41 |
| National facility | $36.41 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $48.14 | $48.14 |
| District of Columbia | $40.01 | $40.01 |
| New York | $39.31 | $39.31 |
| New Jersey | $39.26 | $39.26 |
| California | $39.09 | $39.09 |
| Washington | $38.69 | $38.69 |
| Massachusetts | $38.47 | $38.47 |
| Connecticut | $38.05 | $38.05 |
| Hawaii | $37.72 | $37.72 |
| Florida | $37.40 | $37.40 |
| Maryland | $37.32 | $37.32 |
| Colorado | $37.27 | $37.27 |
| Rhode Island | $37.15 | $37.15 |
| Oregon | $36.99 | $36.99 |
| Illinois | $36.97 | $36.97 |
| New Hampshire | $36.80 | $36.80 |
| Puerto Rico | $36.53 | $36.53 |
| Virgin Islands | $36.53 | $36.53 |
| Pennsylvania | $36.42 | $36.42 |
| Montana | $36.40 | $36.40 |
| Delaware | $36.27 | $36.27 |
| Texas | $36.26 | $36.26 |
| Nevada | $36.25 | $36.25 |
| Wyoming | $36.15 | $36.15 |
| Minnesota | $36.07 | $36.07 |
| Georgia | $36.06 | $36.06 |
| Michigan | $36.04 | $36.04 |
| Virginia | $35.90 | $35.90 |
| Arizona | $35.87 | $35.87 |
| North Dakota | $35.81 | $35.81 |
| Vermont | $35.79 | $35.79 |
| South Dakota | $35.74 | $35.74 |
| New Mexico | $35.55 | $35.55 |
| Utah | $35.54 | $35.54 |
| Maine | $35.47 | $35.47 |
| Louisiana | $35.35 | $35.35 |
| Missouri | $35.35 | $35.35 |
| Ohio | $35.31 | $35.31 |
| South Carolina | $35.29 | $35.29 |
| North Carolina | $35.19 | $35.19 |
| West Virginia | $35.18 | $35.18 |
| Wisconsin | $35.18 | $35.18 |
| Indiana | $34.97 | $34.97 |
| Kentucky | $34.91 | $34.91 |
| Idaho | $34.86 | $34.86 |
| Oklahoma | $34.83 | $34.83 |
| Nebraska | $34.81 | $34.81 |
| Tennessee | $34.79 | $34.79 |
| Iowa | $34.72 | $34.72 |
| Kansas | $34.69 | $34.69 |
| Alabama | $34.39 | $34.39 |
| Mississippi | $34.38 | $34.38 |
| Arkansas | $34.13 | $34.13 |

## 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 77387 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