CPT code 77306: Radiation plan, simple teletherapy plan2026 Medicare rate & RVUs in South Dakota
Reports a simple external-beam radiation dose plan for one treatment area using a limited beam arrangement, with professional and technical billing options.
In South Dakota, Medicare pays $148.53 for 77306 in the office.
Check a contract rate as a % of Medicare · 77306 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 77306 covers
This service covers development of an isodose plan for external-beam radiation therapy. A radiation oncologist directs the prescription and plan, with dosimetrists and medical physicists commonly supporting the calculations and planning work. The simple level is associated with one treatment area and a straightforward arrangement, typically one or two opposed beams. It is used in radiation oncology practices and treatment centers to plan the intended dose distribution before treatment delivery.
Select this code when the documented plan meets the simple-level criteria; a more involved arrangement or multiple treatment areas may point to 77307 instead. The record should support the treatment area, beam arrangement, prescribed dose, and resulting plan. Report it for the planning service, not for each treatment fraction. CMS lists separately priced professional and technical components: modifier 26 identifies the professional portion, modifier TC the technical portion, and billing without either modifier represents the global service.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How South Dakota compares for 77306
Across 109 of 109 payment localities, the office rate for 77306 runs from $134.64 in Arkansas to $199.13 in San Benito County, CA. South Dakota pays $148.53. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$148.53
- Los Angeles, CA · California$169.93+$21.40
- Washington, DC area · District of Columbia$171.21+$22.68
- Miami, FL · Florida$158.57+$10.04
- Chicago, IL · Illinois$154.59+$6.06
- Manhattan, NY · New York$171.30+$22.77
- Alaska · Alaska$178.61+$30.08
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $136.41 | — |
| ArkansasArkansas | $134.64 | — |
| ArizonaArizona | $146.76 | — |
| Bakersfield, CACalifornia | $159.91 | — |
| Chico, CACalifornia | $159.62 | — |
| El Centro, CACalifornia | $159.64 | — |
| Fresno, CACalifornia | $159.62 | — |
| Hanford, CACalifornia | $159.62 | — |
| Madera, CACalifornia | $159.62 | — |
| Merced, CACalifornia | $159.62 | — |
| Modesto, CACalifornia | $159.62 | — |
| Napa, CACalifornia | $184.27 | — |
| Oxnard, CACalifornia | $169.12 | — |
| Redding, CACalifornia | $159.62 | — |
| Rest of CaliforniaCalifornia | $159.62 | — |
| Riverside, CACalifornia | $160.51 | — |
| Sacramento, CACalifornia | $167.32 | — |
| Salinas, CACalifornia | $166.68 | — |
| San Diego, CACalifornia | $170.42 | — |
| Marin County, CACalifornia | $194.97 | — |
| San Francisco, CACalifornia | $194.88 | — |
| San Benito County, CACalifornia | $199.13 | — |
| Santa Clara County, CACalifornia | $198.75 | — |
| San Luis Obispo, CACalifornia | $164.00 | — |
| Santa Cruz, CACalifornia | $171.93 | — |
| Santa Maria, CACalifornia | $167.26 | — |
| Santa Rosa, CACalifornia | $173.66 | — |
| Stockton, CACalifornia | $159.62 | — |
| Vallejo, CACalifornia | $184.14 | — |
| Visalia, CACalifornia | $159.62 | — |
| Yuba City, CACalifornia | $159.62 | — |
| ColoradoColorado | $156.79 | — |
| ConnecticutConnecticut | $159.62 | — |
| DelawareDelaware | $149.04 | — |
| Fort Lauderdale, FLFlorida | $153.79 | — |
| Rest of FloridaFlorida | $147.17 | — |
| Atlanta, GAGeorgia | $152.61 | — |
| Rest of GeorgiaGeorgia | $139.81 | — |
| Hawaii, Guam, HIHawaii | $163.14 | — |
| IowaIowa | $140.03 | — |
| IdahoIdaho | $140.75 | — |
| East St. Louis, ILIllinois | $144.86 | — |
| Rest of IllinoisIllinois | $142.95 | — |
| Suburban Chicago, ILIllinois | $155.44 | — |
| IndianaIndiana | $141.49 | — |
| KansasKansas | $139.20 | — |
| KentuckyKentucky | $138.77 | — |
| New Orleans, LALouisiana | $144.66 | — |
| Rest of LouisianaLouisiana | $138.48 | — |
| Metropolitan Boston, MAMassachusetts | $171.65 | — |
| Rest of MassachusettsMassachusetts | $155.89 | — |
| Baltimore area, MDMaryland | $159.11 | — |
| Rest of MarylandMaryland | $151.77 | — |
| Rest of MaineMaine | $141.14 | — |
| Southern Maine, MEMaine | $148.40 | — |
| Detroit, MIMichigan | $148.57 | — |
| Rest of MichiganMichigan | $141.79 | — |
| MinnesotaMinnesota | $151.38 | — |
| Metropolitan Kansas City, MOMissouri | $144.03 | — |
| Metropolitan St. Louis, MOMissouri | $145.42 | — |
| Rest of MissouriMissouri | $136.18 | — |
| MississippiMississippi | $135.45 | — |
| MontanaMontana | $150.30 | — |
| North CarolinaNorth Carolina | $142.51 | — |
| North DakotaNorth Dakota | $148.72 | — |
| NebraskaNebraska | $140.80 | — |
| New HampshireNew Hampshire | $154.15 | — |
| Northern New JerseyNew Jersey | $169.67 | — |
| Rest of New JerseyNew Jersey | $161.77 | — |
| New MexicoNew Mexico | $142.39 | — |
| NevadaNevada | $149.96 | — |
| NYC suburbs and Long Island, NYNew York | $174.78 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $162.60 | — |
| Queens, NYNew York | $172.95 | — |
| Rest of New YorkNew York | $144.42 | — |
| OhioOhio | $141.46 | — |
| OklahomaOklahoma | $138.81 | — |
| Portland, OROregon | $161.66 | — |
| Rest of OregonOregon | $149.10 | — |
| Metropolitan Philadelphia, PAPennsylvania | $155.82 | — |
| Rest of PennsylvaniaPennsylvania | $141.80 | — |
| Puerto RicoPuerto Rico | $151.38 | — |
| Rhode IslandRhode Island | $154.25 | — |
| South CarolinaSouth Carolina | $142.16 | — |
| TennesseeTennessee | $139.80 | — |
| Austin, TXTexas | $156.00 | — |
| Beaumont, TXTexas | $140.95 | — |
| Brazoria, TXTexas | $149.17 | — |
| Dallas, TXTexas | $149.93 | — |
| Fort Worth, TXTexas | $148.94 | — |
| Galveston, TXTexas | $149.50 | — |
| Houston, TXTexas | $150.96 | — |
| Rest of TexasTexas | $144.85 | — |
| UtahUtah | $143.92 | — |
| VirginiaVirginia | $147.79 | — |
| Virgin Islands, VIUnited States Virgin Islands | $151.38 | — |
| VermontVermont | $147.97 | — |
| Rest of WashingtonWashington | $155.66 | — |
| King County, WAWashington | $175.23 | — |
| WisconsinWisconsin | $144.18 | — |
| West VirginiaWest Virginia | $138.11 | — |
| WyomingWyoming | $149.61 | — |
77306 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$134.64
$179.38
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $178.61 | 1 |
| AL | $136.41 | 1 |
| AR | $134.64 | 1 |
| AZ | $146.76 | 1 |
| CA | $159.62–$199.13 | 29 |
| CO | $156.79 | 1 |
| CT | $159.62 | 1 |
| DC | $171.21 | 1 |
| DE | $149.04 | 1 |
| FL | $147.17–$158.57 | 3 |
| GA | $139.81–$152.61 | 2 |
| GU | $163.14 | 1 |
| HI | $163.14 | 1 |
| IA | $140.03 | 1 |
| ID | $140.75 | 1 |
| IL | $142.95–$155.44 | 4 |
| IN | $141.49 | 1 |
| KS | $139.20 | 1 |
| KY | $138.77 | 1 |
| LA | $138.48–$144.66 | 2 |
| MA | $155.89–$171.65 | 2 |
| MD | $151.77–$171.21 | 3 |
| ME | $141.14–$148.40 | 2 |
| MI | $141.79–$148.57 | 2 |
| MN | $151.38 | 1 |
| MO | $136.18–$145.42 | 3 |
| MS | $135.45 | 1 |
| MT | $150.30 | 1 |
| NC | $142.51 | 1 |
| ND | $148.72 | 1 |
| NE | $140.80 | 1 |
| NH | $154.15 | 1 |
| NJ | $161.77–$169.67 | 2 |
| NM | $142.39 | 1 |
| NV | $149.96 | 1 |
| NY | $144.42–$174.78 | 5 |
| OH | $141.46 | 1 |
| OK | $138.81 | 1 |
| OR | $149.10–$161.66 | 2 |
| PA | $141.80–$155.82 | 2 |
| PR | $151.38 | 1 |
| RI | $154.25 | 1 |
| SC | $142.16 | 1 |
| SD | $148.53 | 1 |
| TN | $139.80 | 1 |
| TX | $140.95–$156.00 | 8 |
| UT | $143.92 | 1 |
| VA | $147.79–$171.21 | 2 |
| VI | $151.38 | 1 |
| VT | $147.97 | 1 |
| WA | $155.66–$175.23 | 2 |
| WI | $144.18 | 1 |
| WV | $138.11 | 1 |
| WY | $149.61 | 1 |
How the 77306 rate is calculated
Each of 77306’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 77306
RVUs × geographic indexes × conversion factor
Work1.37
1.37 RVUs× 1.000 GPCI
Practice expense3.05
3.05 RVUs× 1.000 GPCI
Malpractice0.08
0.08 RVUs× 1.000 GPCI
Adjusted RVUs
4.5000
Conversion factor
$33.4009
Medicare rate
$150.30
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
9,053
- Code
- 77306
- Physician work
- 1.37
- Practice expense
- 3.05
- Malpractice
- 0.08
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.37 | × 1.000 | 1.3700 |
| Practice expense | 3.05 | × 1.000 | 3.0500 |
| Malpractice | 0.08 | × 0.336 | 0.0269 |
| Total RVUs | 4.4469 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$148.53
Office: (1.37 × 1 + 3.05 × 1 + 0.08 × 0.336) × $33.4009 = $148.53
Payment rules and modifiers for 77306
The CMS indicators that decide how 77306 is paid alongside other services.
CMS payment indicators · 77306
Radiation plan, simple teletherapy plan
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
77306 without 26 · national office
$150.30
Radiation plan, simple teletherapy plan
77306-26 · Professional component
$73.82
Pays only the interpretation and report.
How 77306 has changed in South Dakota
77306 · Office / nonfacility
$148.53
Effective 2026-10-01
The base rate is $4.37 higher than on 2025-10-01, moving from $144.16 to $148.53 (3.0%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$144.16changed to$148.53
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.40 changed to 1.37
- Practice expense RVU 3.03 changed to 3.05
- Malpractice RVU 0.07 changed to 0.08
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$146.48changed to$144.16
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.97 changed to 3.03
- Malpractice RVU 0.08 changed to 0.07
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$144.09changed to$146.48
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$147.72changed to$144.09
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.93 changed to 2.97
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$146.53changed to$147.72
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.81 changed to 2.93
- Malpractice RVU 0.07 changed to 0.08
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$148.79changed to$146.53
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.84 changed to 2.81
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$151.06changed to$148.79
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.76 changed to 2.84
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$151.40changed to$151.06
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.77 changed to 2.76
- Malpractice RVU 0.08 changed to 0.07
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$153.40changed to$151.40
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.83 changed to 2.77
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$150.43changed to$153.40
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 2.76 changed to 2.83
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$149.38changed to$150.43
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 2.74 changed to 2.76
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$144.74changed to$149.38
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 2.60 changed to 2.74
- Malpractice RVU 0.07 changed to 0.08
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$144.02changed to$144.74
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
No ratechanged to$144.02
Held through RVU15B.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $148.53 | Not available in this setting | RVU26D |
| 2026-07-01 | $148.53 | Not available in this setting | RVU26C |
| 2026-04-01 | $148.53 | Not available in this setting | RVU26B |
| 2026-01-01 | $148.53 | Not available in this setting | RVU26A |
| 2025-10-01 | $144.16 | Not available in this setting | RVU25D |
| 2025-07-01 | $144.16 | Not available in this setting | RVU25C |
| 2025-04-01 | $144.16 | Not available in this setting | RVU25B |
| 2025-01-01 | $144.16 | Not available in this setting | RVU25A |
| 2024-10-01 | $146.48 | Not available in this setting | RVU24D |
| 2024-07-01 | $146.48 | Not available in this setting | RVU24C |
| 2024-04-01 | $146.48 | Not available in this setting | RVU24B |
| 2024-03-09 | $146.48 | Not available in this setting | RVU24AR |
| 2024-01-01 | $144.09 | Not available in this setting | RVU24A |
| 2023-10-01 | $147.72 | Not available in this setting | RVU23D |
| 2023-07-01 | $147.72 | Not available in this setting | RVU23C |
| 2023-04-01 | $147.72 | Not available in this setting | RVU23B |
| 2023-01-01 | $147.72 | Not available in this setting | RVU23A |
| 2022-10-01 | $146.53 | Not available in this setting | RVU22D |
| 2022-07-01 | $146.53 | Not available in this setting | RVU22C |
| 2022-04-01 | $146.53 | Not available in this setting | RVU22B |
| 2022-01-01 | $146.53 | Not available in this setting | RVU22A |
| 2021-10-01 | $148.79 | Not available in this setting | RVU21D |
| 2021-07-01 | $148.79 | Not available in this setting | RVU21C |
| 2021-04-01 | $148.79 | Not available in this setting | RVU21B |
| 2021-01-01 | $148.79 | Not available in this setting | RVU21A |
| 2020-10-01 | $151.06 | Not available in this setting | RVU20D |
| 2020-07-01 | $151.06 | Not available in this setting | RVU20C |
| 2020-04-01 | $151.06 | Not available in this setting | RVU20B |
| 2020-01-01 | $151.06 | Not available in this setting | RVU20A |
| 2019-10-01 | $151.40 | Not available in this setting | RVU19D |
| 2019-07-01 | $151.40 | Not available in this setting | RVU19C |
| 2019-04-01 | $151.40 | Not available in this setting | RVU19B |
| 2019-01-01 | $151.40 | Not available in this setting | RVU19A |
| 2018-10-01 | $153.40 | Not available in this setting | RVU18D |
| 2018-07-01 | $153.40 | Not available in this setting | RVU18C |
| 2018-04-01 | $153.40 | Not available in this setting | RVU18B |
| 2018-01-01 | $153.40 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $150.43 | Not available in this setting | RVU17D |
| 2017-07-01 | $150.43 | Not available in this setting | RVU17C |
| 2017-04-01 | $150.43 | Not available in this setting | RVU17B |
| 2017-01-01 | $150.43 | Not available in this setting | RVU17A |
| 2016-10-01 | $149.38 | Not available in this setting | RVU16D |
| 2016-07-01 | $149.38 | Not available in this setting | RVU16C |
| 2016-04-01 | $149.38 | Not available in this setting | RVU16B |
| 2016-01-01 | $149.38 | Not available in this setting | RVU16A |
| 2015-10-01 | $144.74 | Not available in this setting | RVU15D |
| 2015-07-01 | $144.74 | Not available in this setting | RVU15C |
| 2015-04-01 | $144.02 | Not available in this setting | RVU15B |
| 2015-01-01 | $144.02 | Not available in this setting | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
77306 billing questions
How is 77306 distinguished from 77307?
Use 77306 for a simple plan involving one treatment area and a straightforward beam arrangement, typically one or two opposed beams. A more complex arrangement or multiple treatment areas may support 77307.
Is this code reported for each radiation treatment?
No. It represents development of the isodose plan, rather than delivery of each treatment fraction.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the professional portion and modifier TC identifies the technical portion; billing without either modifier represents the global service.
What documentation supports the simple plan level?
Document the treatment area, beam arrangement, prescribed dose, and planned dose distribution so the simple-level selection is supported.
Is 77306 used for brachytherapy planning?
No. This code is for teletherapy planning. Brachytherapy isodose planning is represented by codes such as 77316, 77317, or 77318, depending on plan complexity.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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