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Scope Exam Of The Uterus With Biopsy Or Polyp Removal

New Jersey 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?

$7,161

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $7,161 for this procedure. That total is two separate charges: $851 to the doctor who performs it, and $6,310 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$851$275 to $1,479
Facility feeThe hospital or surgery center$6,310$4,898 to $8,318

How much rates vary

Facilitymedian $6,310 · 10th to 90th $1,778 to $10,000Professionalmedian $851 · 10th to 90th $204 to $3,388
$200$500$1K$2K$5K$10Kfacility $6,310professional $851

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
$1,737.80
Median
$6,309.57
Typical High
$10,000.00
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$131.83
Median
$162.18
Typical High
$1,318.26
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$53.70
Median
$64.57
Typical High
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$870.96
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$40.74
Median
$66.07
Typical High
$275.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$7,943.28
Typical High
$12,882.50
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$436.52
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$524.81
Typical High
$2,511.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$1,513.56
Typical High
$2,398.83
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,232.93
Typical High
$16,218.10
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$831.76
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$575.44
Typical High
$2,290.87

Where New Jersey 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

New Jersey· 10th of 51

$7,161

$851 physician + $6,310 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.