go back

Wisconsin rates for HCPCS 58340

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

Facilitymedian $631 · 10th–90th $115$1,8620%5%10th90th$631Professionalmedian $214 · 10th–90th $62$6460%5%10th90th$214$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
$275.42 / $616.60 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $213.80 / $616.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,584.89 / $1,584.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $239.88 / $776.25
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $93.33 / $102.33
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $281.84 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $776.25 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $194.98 / $851.14
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $218.78 / $3,090.30
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $190.55 / $645.65
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $239.88 / $1,513.56
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $436.52 / $2,884.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $891.25 / $2,344.23
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $275.42 / $707.95
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $257.04 / $776.25
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $1,288.25 / $1,288.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $707.95 / $2,951.21
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $645.65
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $309.03 / $1,318.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,584.89 / $2,187.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $257.04 / $467.74