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Open Removal of Uterine Fibroids, Larger Case

Iowa rates for HCPCS 58146

Surgery through an incision in the lower abdomen to remove fibroids, non-cancerous growths, from the wall of the uterus while leaving the uterus itself in place. This covers the heavier version of the operation, where many fibroids or a large bulk of fibroid tissue has to be taken out.

Rates data updated July 2026.

How much does Open Removal of Uterine Fibroids, Larger Case cost?

$7,941

Typical total for the visit. In Iowa, July 2026.

Insurers have agreed to pay about $7,941 for this procedure. That total is two separate charges: $2,570 to the doctor who performs it, and $5,370 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,570$1,413 to $4,266
Facility feeThe hospital or surgery center$5,370$3,090 to $7,943

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,413 to $13,490Professionalmedian $2,570 · 10th to 90th $1,047 to $5,754
$100.0$500.0$2.0K$10.0Kfacility $5,370professional $2,570

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$6,760.83
Typical High
$17,782.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$2,570.40
Typical High
$5,754.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,630.27
Typical High
$3,235.94
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,995.26
Typical High
$3,981.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,388.44
Typical High
$8,912.51
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,290.87
Typical High
$8,511.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,754.23
Typical High
$3,981.07
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,090.30
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$4,897.79
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,862.09
Typical High
$3,630.78
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,041.74
Typical High
$2,398.83

Where Iowa sits

The same service costs 11.0 times more in Maine than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeIowa $7,941 · 20th of 50
ME $24,761WV $2,245

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.