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Michigan rates for HCPCS 58565

Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants

Facilitymedian $4,266 · 10th–90th $1,905–$6,9180%20%10th90th$4,266Professionalmedian $1,288 · 10th–90th $407–$2,3440%5%10%10th90th$1,288$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $1,380.38 / $2,238.72
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $691.83 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $1,479.11 / $2,691.53
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $4,897.79 / $5,495.41
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $1,905.46 / $2,884.03
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $707.95 / $2,454.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $7,585.78 / $13,182.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $1,659.59 / $2,630.27