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Arizona rates for HCPCS 58340

Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography

Facilitymedian $1,445 · 10th–90th $95–$5,1290%5%10th90th$1,445Professionalmedian $170 · 10th–90th $56–$4900%5%10th90th$170$50.0$100.0$200.0$500.0$1.0K$2.0K$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $2,238.72 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $169.82 / $489.78
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $194.98 / $223.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $302.00 / $562.34
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $269.15 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $134.90 / $363.08
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $177.83 / $707.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $269.15 / $2,884.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $1,047.13 / $2,137.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $120.23 / $323.59