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Scope Exam Of The Uterus With Biopsy Or Polyp Removal

Illinois 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.

How much does Scope Exam Of The Uterus With Biopsy Or Polyp Removal cost?

$6,623

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

Insurers have agreed to pay about $6,623 for this procedure. That total is two separate charges: $457 to the doctor who performs it, and $6,166 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$457$295 to $1,288
Facility feeThe hospital or surgery center$6,166$2,042 to $9,550

How much rates vary

Facilitymedian $6,166 · 10th to 90th $891 to $12,882Professionalmedian $457 · 10th to 90th $229 to $2,344
$200$500$1K$2K$5K$10K$20Kfacility $6,166professional $457

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
$891.25
Median
$6,309.57
Typical High
$12,882.50
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$114.82
Median
$645.65
Typical High
$1,174.90
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$45.71
Median
$138.04
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$446.68
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$42.66
Median
$87.10
Typical High
$416.87
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$1,584.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$4,677.35
Typical High
$6,025.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$457.09
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$7,413.10
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$457.09
Typical High
$1,995.26
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$1,621.81
Typical High
$3,467.37
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$295.12
Typical High
$1,621.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,548.13
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$446.68
Typical High
$2,398.83

Where Illinois sits

The same service costs 4.5 times more in Wyoming than in Arkansas. 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

Illinois· 18th of 51

$6,623

$457 physician + $6,166 facility

WY $10,149AR $2,237

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.