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Placement Of Internal Radiation Applicator, Uterus

Utah 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 $3,715 · 10th–90th $234$6,4570%10%20%10th90th$3,715Professionalmedian $380 · 10th–90th $200$8710%10%10th90th$380$50.0$200.0$1.0K$5.0K

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
$234.42
Median
$3,388.44
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$363.08
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$478.63
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$575.44
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$9,772.37
Typical High
$14,791.08
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$512.86
Typical High
$676.08
Select Health
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Select Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$371.54
Typical High
$616.60
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$524.81
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$4,466.84
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$416.87
Typical High
$776.25