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Placement Of Internal Radiation Applicator, Uterus

Michigan rates for HCPCS 57155

This procedure places a small device inside the uterus and vagina to hold radioactive material in position for internal radiation treatment, most often used for cervical or uterine cancer. It is a preparatory step that positions the applicator; the radiation treatment itself is delivered afterward. It is done under anesthesia or sedation.

Rates data updated July 2026.

Facilitymedian $2,884 · 10th–90th $355$5,1290%20%10th90th$2,884Professionalmedian $355 · 10th–90th $234$5370%10%10th90th$355$100.0$200.0$500.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$2,884.03
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$338.84
Typical High
$478.63
BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$371.54
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$407.38
Typical High
$741.31
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$1,258.93
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$436.52
Typical High
$660.69
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$398.11
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$3,981.07
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$446.68
Typical High
$660.69