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Scope Exam Of The Uterus With Biopsy Or Polyp Removal

Hawaii rates for HCPCS 58558

A thin, lighted scope is passed through the cervix into the uterus to look directly at the uterine lining, and a tissue sample is taken and/or a polyp is removed during the same visit. It may be combined with a gentle scraping of the uterine lining.

Rates data updated July 2026.

Facilitymedian $4,467 · 10th–90th $1,318$4,4670%50%10th$4,467Professionalmedian $1,259 · 10th–90th $234$5,6230%10%10th90th$1,259$50.0$100.0$200.0$500.0$1.0K$2.0K$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
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$4,466.84
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$851.14
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$53.70
Median
$53.70
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$398.11
Typical High
$1,698.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$1,412.54
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$380.19
Typical High
$1,949.84
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$2,630.27
Typical High
$6,165.95