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Open Removal of Uterine Fibroids, Larger Case

Washington 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?

$4,155

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

Insurers have agreed to pay about $4,155 for this procedure. That total is two separate charges: $1,585 to the doctor who performs it, and $2,570 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 10 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,585$1,259 to $2,570
Facility feeThe hospital or surgery center$2,570$2,138 to $3,236

How much rates vary

Facilitymedian $2,570 · 10th to 90th $1,413 to $10,233Professionalmedian $1,585 · 10th to 90th $1,023 to $3,388
$100.0$1.0K$10.0Kfacility $2,570professional $1,585

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
$1,348.96
Median
$2,951.21
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,412.54
Typical High
$4,466.84
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,290.87
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,187.76
Typical High
$3,467.37
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,344.23
Typical High
$2,884.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,344.23
Typical High
$2,951.21
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$72.44
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,238.72
Typical High
$2,238.72
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,584.89
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,454.71
Typical High
$3,388.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,290.87
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,388.44
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,949.84
Typical High
$3,311.31
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,348.96
Typical High
$2,041.74

Where Washington 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 feeWashington $4,155 · 40th 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.