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Fallopian Tube Dye Test During Surgery

Arkansas rates for HCPCS 58350

A procedure, usually performed as part of a laparoscopic surgery, in which a colored dye is passed through the cervix and uterus so the surgeon can watch whether it flows freely out of the fallopian tubes. It helps confirm whether the tubes are open or blocked, which is important information when evaluating infertility.

Rates data updated July 2026.

How much does Fallopian Tube Dye Test During Surgery cost?

$1,767

Typical total for the visit. In Arkansas, July 2026.

Insurers have agreed to pay about $1,767 for this procedure. That total is two separate charges: $107 to the doctor who performs it, and $1,660 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$107$87.10 to $135
Facility feeThe hospital or surgery center$1,660$955 to $3,090

How much rates vary

Facilitymedian $1,660 · 10th to 90th $107 to $5,129Professionalmedian $107 · 10th to 90th $71 to $186
$100$200$500$1K$2K$5K$10Kfacility $1,660professional $107

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$1,230.27
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$104.71
Typical High
$169.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$6,456.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$112.20
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$141.25
Typical High
$218.78
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$3,162.28
Typical High
$10,232.93
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$114.82
Typical High
$194.98

Where Arkansas sits

The same service costs 77.3 times more in Wyoming than in Maine. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Arkansas· 37th of 50

$1,767

$107 physician + $1,660 facility

WY $10,502ME $136

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.