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CPT code 77407: Radiation delivery, level 22026 Medicare rate & RVUs in Utah

Reports an intermediate-level external-beam radiation treatment delivery session, selected by the delivery’s CPT-defined complexity rather than the cancer site.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Utah, Medicare pays $291.28 for 77407 in the office.

$291.28Office (non-facility)
Not available in this settingHospital or facility
−6.0%vs the national office rate ($309.96)

Check a contract rate as a % of Medicare · 77407 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 77407 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 77407 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 77407 covers

Code 77407 represents the technical delivery of an intermediate-complexity external-beam radiation treatment. Radiation oncology teams commonly provide this service with a linear accelerator during a course of treatment for cancers such as breast, prostate, or head and neck cancer. The code describes a treatment delivery session, not the treatment plan or the physician’s ongoing management of the course. The tumor site alone does not determine the delivery level.

Select the level using the applicable CPT delivery criteria and document the treatment delivered, including the technical details that support intermediate-level classification. The record should make clear that a radiation treatment session occurred. CMS classifies 77407 as technical-component-only: it represents the technical service, while a separate code covers interpretation. It is not split into professional and technical portions for reporting. Do not use this level solely because it falls between the simpler and more complex levels; the documented delivery must meet its criteria.

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 Utah compares for 77407

Across 109 of 109 payment localities, the office rate for 77407 runs from $265.57 in Arkansas to $445.15 in San Benito County, CA. Utah pays $291.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

77407 in Utah vs other payment areas
  1. Utah · this page$291.28
  2. Los Angeles, CA · California$365.64+$74.36
  3. Washington, DC area · District of Columbia$365.00+$73.72
  4. Miami, FL · Florida$325.65+$34.37
  5. Chicago, IL · Illinois$314.10+$22.82
  6. Manhattan, NY · New York$361.02+$69.74
  7. Alaska · Alaska$329.08+$37.80

Other areas in Utah first, then benchmark localities. Bars start at $0.

Every other payment area

77407 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$270.60—
ArkansasArkansas$265.57—
ArizonaArizona$300.13—
Bakersfield, CACalifornia$338.74—
Chico, CACalifornia$338.59—
El Centro, CACalifornia$338.60—
Fresno, CACalifornia$338.59—
Hanford, CACalifornia$338.59—

77407 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$265.57

$391.87

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
77407 office rate range by state
State / territoryOffice rate rangeLocalities
AK$329.081
AL$270.601
AR$265.571
AZ$300.131
CA$338.59–$445.1529
CO$329.231
CT$334.091
DC$365.001
DE$306.061
FL$297.42–$325.653
GA$277.09–$315.292
GU$351.311
HI$351.311
IA$282.581
ID$284.271
IL$284.30–$319.824
IN$286.451
KS$279.401
KY$275.611
LA$274.46–$292.062
MA$325.88–$369.482
MD$313.49–$365.003
ME$284.57–$306.452
MI$283.43–$300.562
MN$317.481
MO$267.41–$295.183
MS$266.631
MT$309.961
NC$288.601
ND$308.771
NE$285.001
NH$322.341
NJ$338.49–$359.372
NM$284.801
NV$309.931
NY$293.97–$369.885
OH$283.181
OK$276.561
OR$308.13–$343.632
PA$284.60–$322.972
PR$313.321
RI$319.911
SC$286.261
SD$308.631
TN$281.011
TX$282.10–$327.598
UT$291.281
VA$304.14–$365.002
VI$313.321
VT$305.891
WA$325.80–$379.502
WI$295.641
WV$270.481
WY$309.441

See 77407 in every payment locality

How the 77407 rate is calculated

Each of 77407’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 · 77407

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense9.22

9.22 RVUs× 1.000 GPCI

Malpractice0.06

0.06 RVUs× 1.000 GPCI

Adjusted RVUs

9.2800

Conversion factor

$33.4009

Medicare rate

$309.96

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Utah inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

9,098

Code
77407
Physician work
0.00
Practice expense
9.22
Malpractice
0.06

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 77407 in Utah
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0000.0000
Practice expense9.22× 0.9408.6668
Malpractice0.06× 0.8980.0539
Total RVUs8.7207
Conversion factor× 33.4009

Office rate, Utah$291.28

Office: (0 × 1 + 9.22 × 0.94 + 0.06 × 0.898) × $33.4009 = $291.28

Open 77407 in the RVU calculator

Payment rules and modifiers for 77407

The CMS indicators that decide how 77407 is paid alongside other services.

CMS payment indicators · 77407

Radiation delivery, level 2

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical3Technical component only.

Codes related to 77407

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 77407
CodeHow it relatesOffice range, Utah
Same family
77402Radiation delivery, level 1Sibling code for a simpler level of radiation treatment delivery.$77.21
77412Radiation delivery, complex treatmentSibling code for a more complex level of radiation treatment delivery.$416.85
Often billed with
77417Port imaging, treatment-field verificationPort imaging may be reported with a delivery session when performed and documented.No office rate
Used instead
77423Neutron beam treatment, complex deliveryDescribes neutron-beam treatment delivery, a different radiation modality.No office rate
77424Intraoperative radiation, X-ray deliveryDescribes intraoperative radiation delivery by X-ray rather than external-beam session delivery.No office rate
77425Intraoperative radiation, electron beamDescribes intraoperative electron radiation delivery rather than external-beam session delivery.No office rate

How 77407 has changed in Utah

77407 · Office / nonfacility

$291.28

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    No ratechanged to$291.28

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2015

    RVU15A

    $233.82changed toNo rate

    Held through RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D.

  3. January 1, 2014

    RVU14A

    $207.00changed to$233.82

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 6.63 changed to 7.09
    • Practice expense GPCI 0.916 changed to 0.919
    • Malpractice GPCI 1.102 changed to 1.136

    Held through RVU14B, RVU14C, RVU14D.

  4. January 1, 2013

    RVU13AR

    Earliest loaded release: $207.00

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$291.28Not available in this settingRVU26D
2026-07-01$291.28Not available in this settingRVU26C
2026-04-01$291.28Not available in this settingRVU26B
2026-01-01$291.28Not available in this settingRVU26A
2025-10-01Separate payment rules applySeparate payment rules applyRVU25D
2025-07-01Separate payment rules applySeparate payment rules applyRVU25C
2025-04-01Separate payment rules applySeparate payment rules applyRVU25B
2025-01-01Separate payment rules applySeparate payment rules applyRVU25A
2024-10-01Separate payment rules applySeparate payment rules applyRVU24D
2024-07-01Separate payment rules applySeparate payment rules applyRVU24C
2024-04-01Separate payment rules applySeparate payment rules applyRVU24B
2024-03-09Separate payment rules applySeparate payment rules applyRVU24AR
2024-01-01Separate payment rules applySeparate payment rules applyRVU24A
2023-10-01Separate payment rules applySeparate payment rules applyRVU23D
2023-07-01Separate payment rules applySeparate payment rules applyRVU23C
2023-04-01Separate payment rules applySeparate payment rules applyRVU23B
2023-01-01Separate payment rules applySeparate payment rules applyRVU23A
2022-10-01Separate payment rules applySeparate payment rules applyRVU22D
2022-07-01Separate payment rules applySeparate payment rules applyRVU22C
2022-04-01Separate payment rules applySeparate payment rules applyRVU22B
2022-01-01Separate payment rules applySeparate payment rules applyRVU22A
2021-10-01Separate payment rules applySeparate payment rules applyRVU21D
2021-07-01Separate payment rules applySeparate payment rules applyRVU21C
2021-04-01Separate payment rules applySeparate payment rules applyRVU21B
2021-01-01Separate payment rules applySeparate payment rules applyRVU21A
2020-10-01Separate payment rules applySeparate payment rules applyRVU20D
2020-07-01Separate payment rules applySeparate payment rules applyRVU20C
2020-04-01Separate payment rules applySeparate payment rules applyRVU20B
2020-01-01Separate payment rules applySeparate payment rules applyRVU20A
2019-10-01Separate payment rules applySeparate payment rules applyRVU19D
2019-07-01Separate payment rules applySeparate payment rules applyRVU19C
2019-04-01Separate payment rules applySeparate payment rules applyRVU19B
2019-01-01Separate payment rules applySeparate payment rules applyRVU19A
2018-10-01Separate payment rules applySeparate payment rules applyRVU18D
2018-07-01Separate payment rules applySeparate payment rules applyRVU18C
2018-04-01Separate payment rules applySeparate payment rules applyRVU18B
2018-01-01Separate payment rules applySeparate payment rules applyRVU18AR1
2017-10-01Separate payment rules applySeparate payment rules applyRVU17D
2017-07-01Separate payment rules applySeparate payment rules applyRVU17C
2017-04-01Separate payment rules applySeparate payment rules applyRVU17B
2017-01-01Separate payment rules applySeparate payment rules applyRVU17A
2016-10-01Separate payment rules applySeparate payment rules applyRVU16D
2016-07-01Separate payment rules applySeparate payment rules applyRVU16C
2016-04-01Separate payment rules applySeparate payment rules applyRVU16B
2016-01-01Separate payment rules applySeparate payment rules applyRVU16A
2015-10-01Separate payment rules applySeparate payment rules applyRVU15D
2015-07-01Separate payment rules applySeparate payment rules applyRVU15C
2015-04-01Separate payment rules applySeparate payment rules applyRVU15B
2015-01-01Separate payment rules applySeparate payment rules applyRVU15A
2014-10-01$233.82Not available in this settingRVU14D
2014-07-01$233.82Not available in this settingRVU14C
2014-04-01$233.82Not available in this settingRVU14B
2014-01-01$233.82Not available in this settingRVU14A
2013-10-01$207.00Not available in this settingRVU13D
2013-07-01$207.00Not available in this settingRVU13C
2013-04-01$207.00Not available in this settingRVU13B
2013-01-01$207.00Not available in this settingRVU13AR

Price 77407 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

77407 billing questions

How is 77407 distinguished from 77402 and 77412?

These codes represent different levels of radiation delivery complexity. Choose 77407 only when the documented delivery meets the intermediate-level CPT criteria; the diagnosis or body site alone does not establish the level.

Does 77407 include the physician’s interpretation?

No. CMS identifies 77407 as technical-component-only, and a separate code covers interpretation.

Should 77407 be split with modifier 26 and TC?

CMS classifies the code as technical-component-only rather than as a code with separately reported professional and technical portions. The interpretation is represented by a separate code.

What documentation supports reporting 77407?

Document that the radiation treatment delivery occurred and include the technical details supporting intermediate-level classification under the applicable CPT criteria.

Is 77407 reported for the treatment plan or weekly management?

No. It represents a treatment delivery session. Planning and management describe different services and should not be substituted for the delivery code.

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
RVUs for 77407PPRRVU2026_Oct_nonQPP.csv, line 9,098 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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