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Placement Of Internal Radiation Applicator, Uterus

Montana 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 $617 · 10th–90th $468$1,0470%20%10th90th$617Professionalmedian $380 · 10th–90th $182$8130%10%20%10th90th$380$100.0$500.0$2.0K$10.0K$50.0K

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
Professional
Modifier
Global
Typical Low
$181.97
Median
$302.00
Typical High
$1,548.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$489.78
Typical High
$851.14
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$630.96
Typical High
$776.25
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$630.96
Typical High
$776.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$446.68
Typical High
$707.95
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$478.63
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$10,232.93
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$602.56
Typical High
$812.83