Proton Therapy Fee Updates

Published 04/24/2025

After a recent review, the 2025 fees for proton therapy services have been updated.

  • 77520: Simple proton beam radiation treatment
  • 77522: Simple proton beam radiation treatment with compensation
  • 77523: Intermediate proton beam radiation treatment
  • 77525: Complex proton beam radiation treatment            

The fee changes for 77520 and 77522 will be implemented effective July 1, 2025. The fee changes for 77523 and 77525 are effective January 1, 2025, and have been implemented for claims processing.

77520 — Effective July 1, 2025

Table 1. 77520 — Effective July 1, 2025.
South Carolina $720.40
North Carolina $729.88
West Virginia $684.06
Virginia $775.69

77522 — Effective July 1, 2025

Table 2. 77522 — Effective July 1, 2025.
South Carolina $745.60
North Carolina $755.41
West Virginia $707.99
Virginia $802.82

77523 — Effective January 1, 2025

Table 3. 77523 — Effective January 1, 2025.
South Carolina $951.67
North Carolina $964.19
West Virginia $903.67
Virginia $1,024.72

77525 — Effective January 1, 2025

Table 4. 77525 — Effective January 1, 2025.
South Carolina $1,121.00
North Carolina $1,135.75
West Virginia $1,064.46
Virginia $1,207.04

Providers may adjust their prior 2025 claims for 77523 and 77525 at their discretion. Please note that the inclusion or exclusion of a fee schedule amount for an item or service does not imply any health insurance coverage.


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