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Pennsylvania rates for HCPCS 58340

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

Facilitymedian $933 · 10th–90th $162$4,8980%5%10%10th90th$933Professionalmedian $170 · 10th–90th $59$4570%5%10%10th90th$170$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$162.18 / $954.99 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $173.78 / $478.63
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $54.95 / $346.74
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $891.25 / $9,549.93
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $154.88 / $251.19
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $416.87 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $144.54 / $371.54
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $346.74 / $489.78
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $218.78 / $478.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $467.74 / $741.31
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $67.61 / $257.04
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $707.95 / $1,445.44
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $251.19 / $275.42
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $1,023.29 / $5,754.40
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $138.04 / $389.05
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $363.08 / $478.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $74.13 / $234.42
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $77.62 / $309.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $630.96 / $4,466.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $151.36 / $407.38