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Scope Exam Of The Uterus With Biopsy Or Polyp Removal

North Carolina 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?

$7,019

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $7,019 for this procedure. That total is two separate charges: $562 to the doctor who performs it, and $6,457 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$562$309 to $1,413
Facility feeThe hospital or surgery center$6,457$2,692 to $8,710

How much rates vary

Facilitymedian $6,457 · 10th to 90th $447 to $9,772Professionalmedian $562 · 10th to 90th $234 to $2,884
$50$200$1K$5Kfacility $6,457professional $562

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
$512.86
Median
$6,760.83
Typical High
$9,772.37
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$112.20
Median
$489.78
Typical High
$1,023.29
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$45.71
Median
$199.53
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$549.54
Typical High
$2,951.21
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$45.71
Median
$173.78
Typical High
$489.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$346.74
Typical High
$2,187.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$630.96
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$489.78
Typical High
$2,570.40
Medcost
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$478.63
Typical High
$1,659.59
Medcost
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$3,630.78
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$8,511.38
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,606.93
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$398.11
Typical High
$1,905.46
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$45,708.82
Wellcare
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$7,762.47
Median
$7,762.47
Typical High
$7,762.47
Wellcare
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$10,471.29

Where North Carolina 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

North Carolina· 12th of 51

$7,019

$562 physician + $6,457 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.