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Prostate Radiation Spacer Placement, with Imaging

Montana 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?

$3,628

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

Insurers have agreed to pay about $3,628 for this procedure. That total is two separate charges: $316 to the doctor who performs it, and $3,311 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$316$234 to $4,467
Facility feeThe hospital or surgery center$3,311$245 to $6,457

How much rates vary

Facilitymedian $3,311 · 10th to 90th $245 to $6,918Professionalmedian $316 · 10th to 90th $155 to $5,248
$100$200$500$1K$2K$5K$10Kfacility $3,311professional $316

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$6,165.95
Aetna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$426.58
Typical High
$6,165.95
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$6,760.83
Typical High
$12,589.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$4,466.84
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$309.03
Typical High
$6,918.31
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$263.03
Typical High
$6,760.83
Providence
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$6,760.83
Typical High
$12,589.25
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$257.04
Typical High
$4,786.30
United
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$3,311.31
Typical High
$9,120.11
United
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$630.96
Typical High
$6,165.95

Where Montana 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

Montana· 50th of 51

$3,628

$316 physician + $3,311 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.