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Prostate Radiation Spacer Placement, with Imaging

Hawaii rates for HCPCS 55874

This procedure places a temporary spacer material between the prostate and the rectum before radiation therapy for prostate cancer, performed together with imaging guidance such as ultrasound or CT to confirm accurate placement. The spacer creates extra space to help shield the rectum from radiation exposure during treatment, and it is gradually absorbed by the body over the following months.

Rates data updated October 2026.

How much does Prostate Radiation Spacer Placement, with Imaging cost?

$5,904

Typical total for the visit. In Hawaii, October 2026.

Insurers have agreed to pay about $5,904 for this procedure. That total is two separate charges: $3,020 to the doctor who performs it, and $2,884 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$3,020$224 to $4,074
Facility feeThe hospital or surgery center$2,884$2,884 to $3,802

How much rates vary

Facilitymedian $2,884 · 10th to 90th $1,000 to $3,802Professionalmedian $3,020 · 10th to 90th $158 to $4,571
$200$500$1K$2K$5Kfacility $2,884professional $3,020

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$223.87
Typical High
$4,786.30
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$4,168.69
Typical High
$5,888.44
United
Setting
Facility
Modifier
None
Typical Low
$3,090.30
Median
$3,801.89
Typical High
$7,079.46
United
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$3,801.89
Typical High
$4,168.69
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$575.44
Typical High
$4,570.88

Where Hawaii sits

The same service costs 4.3 times more in Oklahoma than in Maine. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Hawaii· 37th of 51

$5,904

$3,020 physician + $2,884 facility

OK $14,688ME $3,415

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.