go back

Tennessee rates for HCPCS 58555

Hysteroscopy, diagnostic (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.59 / $1,939.00 / $6,085.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$25.70 / $60.38 / $181.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.91 / $285.97 / $946.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.00 / $3,753.00 / $6,090.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.79 / $294.05 / $546.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.95 / $327.33 / $531.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.10 / $879.65 / $12,000.00
Lucent Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$138.36 / $148.02 / $148.02
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,568.00 / $2,426.80 / $2,867.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.00 / $3,616.00 / $6,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.76 / $440.15 / $682.20