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Fallopian Tube Dye Test During Surgery

West Virginia 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?

$5,717

Typical total for the visit. In West Virginia, July 2026.

Insurers have agreed to pay about $5,717 for this procedure. That total is two separate charges: $93.33 to the doctor who performs it, and $5,623 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$93.33$87.10 to $120
Facility feeThe hospital or surgery center$5,623$138 to $10,233

How much rates vary

Facilitymedian $5,623 · 10th to 90th $87 to $10,233Professionalmedian $93 · 10th to 90th $62 to $145
$50$200$1K$5Kfacility $5,623professional $93

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
$87.10
Median
$8,511.38
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$93.33
Typical High
$138.04
CareSource
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$117.49
CareSource
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$144.54
Typical High
$741.31
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,235.94
Typical High
$14,125.38
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$102.33
Typical High
$165.96

Where West Virginia 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

West Virginia· 12th of 50

$5,717

$93.33 physician + $5,623 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.