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Missouri rates for HCPCS 58340

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

Facilitymedian $1,585 · 10th–90th $178–$4,8980%5%10th90th$1,585Professionalmedian $170 · 10th–90th $55–$5010%5%10th90th$170$50.0$200.0$1.0K$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
$97.72 / $1,659.59 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $173.78 / $524.81
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $48.98 / $436.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,778.28 / $3,981.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $109.65 / $288.40
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $147.91 / $323.59
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
$63.10 / $158.49 / $407.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $181.97 / $588.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $295.12 / $2,884.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $707.95 / $1,862.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $134.90 / $354.81