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Surgical Exposure Of Prostate For Radiation Seeds

Maine rates for HCPCS 55860

Surgery that opens the area around the prostate so radioactive sources can be placed directly into the gland to treat prostate cancer from within. Placing the sources inside the gland concentrates the radiation on the tumor while limiting the dose to the bladder and rectum nearby. This version reaches the prostate through an incision rather than placing the sources through the skin under imaging guidance.

Facilitymedian $10,965 · 10th–90th $10,965$10,9650%50%100%$10,965Professionalmedian $1,122 · 10th–90th $871$1,8620%10%20%10th90th$1,122$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,122.02
Typical High
$1,949.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,318.26
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,202.26
Typical High
$1,949.84
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,174.90
Typical High
$1,737.80
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,000.00
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,288.25
Typical High
$2,187.76