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Adhesion Barrier

Texas rates for HCPCS C1765

Adhesion barrier

Rates data updated October 2026.

How much does Adhesion Barrier cost?

$3.47

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $3.47 for this service. The price depends on where it is billed: about $3.47 from a physician practice, and about $646 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.47$3.47 to $912
FacilityA hospital or hospital-owned outpatient department$646$178 to $977

How much rates vary

Facilitymedian $646 · 10th to 90th $3 to $2,884Professionalmedian $3 · 10th to 90th $3 to $912
$10$100$1K$10Kfacility $646professional $3

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
$3.47
Median
$3.47
Typical High
$3.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.47
Median
$3.47
Typical High
$3.47
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1.74
Median
$1.74
Typical High
$1.74
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.69
Median
$0.69
Typical High
$0.69
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.52
Median
$0.52
Typical High
$0.52
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.35
Median
$0.35
Typical High
$0.35
Baylor Scott & White
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Moda Health
Setting
Facility
Modifier
None
Typical Low
$4.90
Median
$707.95
Typical High
$4,365.16
Moda Health
Setting
Professional
Modifier
None
Typical Low
$3.47
Median
$3.47
Typical High
$380.19
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1.74
Median
$1.74
Typical High
$1.74
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.69
Median
$0.69
Typical High
$0.69
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.52
Median
$0.52
Typical High
$0.52
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.35
Median
$0.35
Typical High
$0.35
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Providence
Setting
Facility
Modifier
None
Typical Low
$3.47
Median
$3.47
Typical High
$4.90
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$79.43
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$912.01

Where Texas sits

The same service costs 446.7 times more in Connecticut than in Idaho. 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.

Texas· 47th of 51

$3.47

CT $1,549ID $3.47

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.