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South Dakota rates for HCPCS 58340

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

Facilitymedian $603 · 10th–90th $117–$1,6600%10%10th90th$603Professionalmedian $145 · 10th–90th $54–$4470%10%10th90th$145$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$234.42 / $630.96 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $131.83 / $446.68
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $66.07 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $165.96 / $707.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $204.17 / $501.19
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $239.88 / $1,071.52
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $354.81 / $588.84
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $398.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $194.98 / $446.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $158.49 / $501.19
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $134.90 / $537.03