CPT code 77767: Skin brachytherapy, one channel2026 Medicare rate & RVUs in South Dakota
Report this service for high-dose-rate radionuclide brachytherapy delivered to a skin surface target through a single-channel applicator.
In South Dakota, Medicare pays $248.84 for 77767 in the office.
Check a contract rate as a % of Medicare · 77767 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 77767 covers
This service covers high-dose-rate radionuclide brachytherapy delivered at the skin surface through a single-channel applicator. A radiation oncologist typically selects and positions the applicator over a localized target, such as a superficial skin cancer, and supervises the treatment in a radiation oncology setting. The service includes handling and loading the applicator when performed; it is distinct from brachytherapy delivered through interstitial or intracavitary sources.
Select this code when the skin-surface treatment uses one channel; use the related multiple-channel code when the applicator uses two or more channels. Document the treated site, applicator configuration, channel count, and treatment delivered. CMS recognizes separately priced professional and technical components: modifier 26 identifies the professional interpretation component, modifier TC identifies equipment and staff, 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 77767
Across 109 of 109 payment localities, the office rate for 77767 runs from $219.24 in Arkansas to $347.68 in San Benito County, CA. South Dakota pays $248.84. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$248.84
- Los Angeles, CA · California$290.35+$41.51
- Washington, DC area · District of Columbia$291.07+$42.23
- Miami, FL · Florida$264.20+$15.36
- Chicago, IL · Illinois$256.04+$7.20
- Manhattan, NY · New York$289.41+$40.57
- Alaska · Alaska$280.42+$31.58
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $222.82 | — |
| ArkansasArkansas | $219.24 | — |
| ArizonaArizona | $243.78 | — |
| Bakersfield, CACalifornia | $270.83 | — |
| Chico, CACalifornia | $270.55 | — |
| El Centro, CACalifornia | $270.56 | — |
| Fresno, CACalifornia | $270.55 | — |
| Hanford, CACalifornia | $270.55 | — |
| Madera, CACalifornia | $270.55 | — |
| Merced, CACalifornia | $270.55 | — |
| Modesto, CACalifornia | $270.55 | — |
| Napa, CACalifornia | $319.49 | — |
| Oxnard, CACalifornia | $289.57 | — |
| Redding, CACalifornia | $270.55 | — |
| Rest of CaliforniaCalifornia | $270.55 | — |
| Riverside, CACalifornia | $271.53 | — |
| Sacramento, CACalifornia | $285.52 | — |
| Salinas, CACalifornia | $284.49 | — |
| San Diego, CACalifornia | $292.38 | — |
| Marin County, CACalifornia | $340.09 | — |
| San Francisco, CACalifornia | $339.99 | — |
| San Benito County, CACalifornia | $347.68 | — |
| Santa Clara County, CACalifornia | $347.26 | — |
| San Luis Obispo, CACalifornia | $279.74 | — |
| Santa Cruz, CACalifornia | $296.12 | — |
| Santa Maria, CACalifornia | $285.88 | — |
| Santa Rosa, CACalifornia | $299.21 | — |
| Stockton, CACalifornia | $270.55 | — |
| Vallejo, CACalifornia | $319.34 | — |
| Visalia, CACalifornia | $270.55 | — |
| Yuba City, CACalifornia | $270.55 | — |
| ColoradoColorado | $264.27 | — |
| ConnecticutConnecticut | $268.61 | — |
| DelawareDelaware | $248.14 | — |
| Fort Lauderdale, FLFlorida | $256.05 | — |
| Rest of FloridaFlorida | $242.95 | — |
| Atlanta, GAGeorgia | $254.97 | — |
| Rest of GeorgiaGeorgia | $228.33 | — |
| Hawaii, Guam, HIHawaii | $278.86 | — |
| IowaIowa | $230.86 | — |
| IdahoIdaho | $232.16 | — |
| East St. Louis, ILIllinois | $236.79 | — |
| Rest of IllinoisIllinois | $233.94 | — |
| Suburban Chicago, ILIllinois | $259.17 | — |
| IndianaIndiana | $233.69 | — |
| KansasKansas | $228.83 | — |
| KentuckyKentucky | $226.86 | — |
| New Orleans, LALouisiana | $238.64 | — |
| Rest of LouisianaLouisiana | $226.13 | — |
| Metropolitan Boston, MAMassachusetts | $293.38 | — |
| Rest of MassachusettsMassachusetts | $262.11 | — |
| Baltimore area, MDMaryland | $267.70 | — |
| Rest of MarylandMaryland | $253.50 | — |
| Rest of MaineMaine | $232.60 | — |
| Southern Maine, MEMaine | $247.81 | — |
| Detroit, MIMichigan | $245.42 | — |
| Rest of MichiganMichigan | $232.63 | — |
| MinnesotaMinnesota | $254.92 | — |
| Metropolitan Kansas City, MOMissouri | $237.73 | — |
| Metropolitan St. Louis, MOMissouri | $240.59 | — |
| Rest of MissouriMissouri | $221.26 | — |
| MississippiMississippi | $220.34 | — |
| MontanaMontana | $250.83 | — |
| North CarolinaNorth Carolina | $235.43 | — |
| North DakotaNorth Dakota | $249.06 | — |
| NebraskaNebraska | $232.51 | — |
| New HampshireNew Hampshire | $259.23 | — |
| Northern New JerseyNew Jersey | $287.39 | — |
| Rest of New JerseyNew Jersey | $272.16 | — |
| New MexicoNew Mexico | $233.70 | — |
| NevadaNevada | $250.55 | — |
| NYC suburbs and Long Island, NYNew York | $296.00 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $273.31 | — |
| Queens, NYNew York | $293.26 | — |
| Rest of New YorkNew York | $239.26 | — |
| OhioOhio | $232.27 | — |
| OklahomaOklahoma | $227.30 | — |
| Portland, OROregon | $274.34 | — |
| Rest of OregonOregon | $249.09 | — |
| Metropolitan Philadelphia, PAPennsylvania | $260.80 | — |
| Rest of PennsylvaniaPennsylvania | $233.15 | — |
| Puerto RicoPuerto Rico | $253.15 | — |
| Rhode IslandRhode Island | $258.22 | — |
| South CarolinaSouth Carolina | $234.14 | — |
| TennesseeTennessee | $230.00 | — |
| Austin, TXTexas | $262.96 | — |
| Beaumont, TXTexas | $231.39 | — |
| Brazoria, TXTexas | $248.53 | — |
| Dallas, TXTexas | $249.87 | — |
| Fort Worth, TXTexas | $247.77 | — |
| Galveston, TXTexas | $249.10 | — |
| Houston, TXTexas | $250.75 | — |
| Rest of TexasTexas | $239.65 | — |
| UtahUtah | $237.71 | — |
| VirginiaVirginia | $246.32 | — |
| Virgin Islands, VIUnited States Virgin Islands | $253.15 | — |
| VermontVermont | $247.22 | — |
| Rest of WashingtonWashington | $261.89 | — |
| King County, WAWashington | $300.52 | — |
| WisconsinWisconsin | $239.78 | — |
| West VirginiaWest Virginia | $224.13 | — |
| WyomingWyoming | $250.06 | — |
77767 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.
$219.24
$309.12
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 | $280.42 | 1 |
| AL | $222.82 | 1 |
| AR | $219.24 | 1 |
| AZ | $243.78 | 1 |
| CA | $270.55–$347.68 | 29 |
| CO | $264.27 | 1 |
| CT | $268.61 | 1 |
| DC | $291.07 | 1 |
| DE | $248.14 | 1 |
| FL | $242.95–$264.20 | 3 |
| GA | $228.33–$254.97 | 2 |
| GU | $278.86 | 1 |
| HI | $278.86 | 1 |
| IA | $230.86 | 1 |
| ID | $232.16 | 1 |
| IL | $233.94–$259.17 | 4 |
| IN | $233.69 | 1 |
| KS | $228.83 | 1 |
| KY | $226.86 | 1 |
| LA | $226.13–$238.64 | 2 |
| MA | $262.11–$293.38 | 2 |
| MD | $253.50–$291.07 | 3 |
| ME | $232.60–$247.81 | 2 |
| MI | $232.63–$245.42 | 2 |
| MN | $254.92 | 1 |
| MO | $221.26–$240.59 | 3 |
| MS | $220.34 | 1 |
| MT | $250.83 | 1 |
| NC | $235.43 | 1 |
| ND | $249.06 | 1 |
| NE | $232.51 | 1 |
| NH | $259.23 | 1 |
| NJ | $272.16–$287.39 | 2 |
| NM | $233.70 | 1 |
| NV | $250.55 | 1 |
| NY | $239.26–$296.00 | 5 |
| OH | $232.27 | 1 |
| OK | $227.30 | 1 |
| OR | $249.09–$274.34 | 2 |
| PA | $233.15–$260.80 | 2 |
| PR | $253.15 | 1 |
| RI | $258.22 | 1 |
| SC | $234.14 | 1 |
| SD | $248.84 | 1 |
| TN | $230.00 | 1 |
| TX | $231.39–$262.96 | 8 |
| UT | $237.71 | 1 |
| VA | $246.32–$291.07 | 2 |
| VI | $253.15 | 1 |
| VT | $247.22 | 1 |
| WA | $261.89–$300.52 | 2 |
| WI | $239.78 | 1 |
| WV | $224.13 | 1 |
| WY | $250.06 | 1 |
How the 77767 rate is calculated
Each of 77767’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 · 77767
RVUs × geographic indexes × conversion factor
Work1.02
1.02 RVUs× 1.000 GPCI
Practice expense6.40
6.40 RVUs× 1.000 GPCI
Malpractice0.09
0.09 RVUs× 1.000 GPCI
Adjusted RVUs
7.5100
Conversion factor
$33.4009
Medicare rate
$250.84
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
9,154
- Code
- 77767
- Physician work
- 1.02
- Practice expense
- 6.40
- Malpractice
- 0.09
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.02 | × 1.000 | 1.0200 |
| Practice expense | 6.40 | × 1.000 | 6.4000 |
| Malpractice | 0.09 | × 0.336 | 0.0302 |
| Total RVUs | 7.4502 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$248.84
Office: (1.02 × 1 + 6.4 × 1 + 0.09 × 0.336) × $33.4009 = $248.84
Payment rules and modifiers for 77767
The CMS indicators that decide how 77767 is paid alongside other services.
CMS payment indicators · 77767
Skin brachytherapy, one channel
| 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
77767 without 26 · national office
$250.84
Skin brachytherapy, one channel
77767-26 · Professional component
$54.78
Pays only the interpretation and report.
How 77767 has changed in South Dakota
77767 · Office / nonfacility
$248.84
Effective 2026-10-01
The base rate is $7.19 higher than on 2025-10-01, moving from $241.65 to $248.84 (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
$241.65changed to$248.84
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.05 changed to 1.02
- Practice expense RVU 6.39 changed to 6.40
- Malpractice RVU 0.08 changed to 0.09
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$247.80changed to$241.65
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 6.36 changed to 6.39
- Malpractice RVU 0.09 changed to 0.08
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$243.76changed to$247.80
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$250.40changed to$243.76
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 6.31 changed to 6.36
- Malpractice RVU 0.08 changed to 0.09
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$250.47changed to$250.40
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 6.16 changed to 6.31
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$250.11changed to$250.47
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 6.09 changed to 6.16
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$242.41changed to$250.11
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 5.63 changed to 6.09
- Malpractice RVU 0.10 changed to 0.08
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$236.32changed to$242.41
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 5.48 changed to 5.63
- Malpractice RVU 0.07 changed to 0.10
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$232.10changed to$236.32
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 5.37 changed to 5.48
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$227.23changed to$232.10
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 5.25 changed to 5.37
- Malpractice RVU 0.08 changed to 0.07
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$225.64changed to$227.23
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 5.22 changed to 5.25
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
No ratechanged to$225.64
Held through RVU16B, RVU16C, RVU16D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $248.84 | Not available in this setting | RVU26D |
| 2026-07-01 | $248.84 | Not available in this setting | RVU26C |
| 2026-04-01 | $248.84 | Not available in this setting | RVU26B |
| 2026-01-01 | $248.84 | Not available in this setting | RVU26A |
| 2025-10-01 | $241.65 | Not available in this setting | RVU25D |
| 2025-07-01 | $241.65 | Not available in this setting | RVU25C |
| 2025-04-01 | $241.65 | Not available in this setting | RVU25B |
| 2025-01-01 | $241.65 | Not available in this setting | RVU25A |
| 2024-10-01 | $247.80 | Not available in this setting | RVU24D |
| 2024-07-01 | $247.80 | Not available in this setting | RVU24C |
| 2024-04-01 | $247.80 | Not available in this setting | RVU24B |
| 2024-03-09 | $247.80 | Not available in this setting | RVU24AR |
| 2024-01-01 | $243.76 | Not available in this setting | RVU24A |
| 2023-10-01 | $250.40 | Not available in this setting | RVU23D |
| 2023-07-01 | $250.40 | Not available in this setting | RVU23C |
| 2023-04-01 | $250.40 | Not available in this setting | RVU23B |
| 2023-01-01 | $250.40 | Not available in this setting | RVU23A |
| 2022-10-01 | $250.47 | Not available in this setting | RVU22D |
| 2022-07-01 | $250.47 | Not available in this setting | RVU22C |
| 2022-04-01 | $250.47 | Not available in this setting | RVU22B |
| 2022-01-01 | $250.47 | Not available in this setting | RVU22A |
| 2021-10-01 | $250.11 | Not available in this setting | RVU21D |
| 2021-07-01 | $250.11 | Not available in this setting | RVU21C |
| 2021-04-01 | $250.11 | Not available in this setting | RVU21B |
| 2021-01-01 | $250.11 | Not available in this setting | RVU21A |
| 2020-10-01 | $242.41 | Not available in this setting | RVU20D |
| 2020-07-01 | $242.41 | Not available in this setting | RVU20C |
| 2020-04-01 | $242.41 | Not available in this setting | RVU20B |
| 2020-01-01 | $242.41 | Not available in this setting | RVU20A |
| 2019-10-01 | $236.32 | Not available in this setting | RVU19D |
| 2019-07-01 | $236.32 | Not available in this setting | RVU19C |
| 2019-04-01 | $236.32 | Not available in this setting | RVU19B |
| 2019-01-01 | $236.32 | Not available in this setting | RVU19A |
| 2018-10-01 | $232.10 | Not available in this setting | RVU18D |
| 2018-07-01 | $232.10 | Not available in this setting | RVU18C |
| 2018-04-01 | $232.10 | Not available in this setting | RVU18B |
| 2018-01-01 | $232.10 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $227.23 | Not available in this setting | RVU17D |
| 2017-07-01 | $227.23 | Not available in this setting | RVU17C |
| 2017-04-01 | $227.23 | Not available in this setting | RVU17B |
| 2017-01-01 | $227.23 | Not available in this setting | RVU17A |
| 2016-10-01 | $225.64 | Not available in this setting | RVU16D |
| 2016-07-01 | $225.64 | Not available in this setting | RVU16C |
| 2016-04-01 | $225.64 | Not available in this setting | RVU16B |
| 2016-01-01 | $225.64 | Not available in this setting | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | 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
77767 billing questions
How does this code differ from 77768?
The channel count distinguishes the two skin-surface HDR codes: 77767 is for one channel, while 77768 is for two or more. Record the applicator configuration in the treatment documentation.
Can the professional and technical portions be billed separately?
Yes. CMS separately prices modifier 26 for the professional component and modifier TC for the technical component; billing without either modifier represents the global service.
Does this code describe interstitial or intracavitary brachytherapy?
No. It describes HDR radionuclide treatment at the skin surface. Interstitial and intracavitary HDR treatments are represented by other codes in the brachytherapy family.
What documentation supports reporting 77767?
Document the skin target and site, the HDR radionuclide treatment, the applicator used, and that it has one channel. Include applicator handling and loading when performed.
Is applicator handling separately reported with this service?
Handling and loading of the applicator, when performed, are included in this service. Do not report them as separate services for the same treatment.
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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