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Adhesion Barrier

Utah rates for HCPCS C1765

Adhesion barrier

Rates data updated October 2026.

How much does Adhesion Barrier cost?

$562

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $562 for this service. Most negotiated rates run $562 to $562.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $562 · 10th to 90th $562 to $562Professionalmedian $562 · 10th to 90th $380 to $562
$10$100$1Kfacility $562professional $562

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Aetna
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$562.34
Typical High
$562.34
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$190.55
Median
$275.42
Typical High
$275.42
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$75.86
Median
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$56.23
Median
$83.18
Typical High
$83.18
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$38.02
Median
$56.23
Typical High
$56.23
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$44.67
Select Health
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$6,309.57

Where Utah 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.

Utah· 7th of 51

$562

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.