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Washington rates for HCPCS 58565

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

Facilitymedian $3,802 · 10th–90th $871–$18,1970%5%10th90th$3,802Professionalmedian $1,479 · 10th–90th $437–$3,9810%5%10th90th$1,479$50.0$200.0$1.0K$5.0K$20.0K

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
$870.96 / $4,466.84 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $1,380.38 / $3,235.94
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $13,182.57 / $26,915.35
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $2,041.74 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $3,981.07 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $1,513.56 / $4,897.79
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $2,884.03 / $6,918.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $2,511.89 / $5,011.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $3,090.30 / $3,548.13
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,344.23 / $2,344.23
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $2,290.87 / $4,168.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $13,803.84 / $26,915.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $2,041.74 / $4,073.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $16,218.10 / $28,840.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $1,584.89 / $4,265.80
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $831.76 / $2,344.23