go back

North Carolina rates for HCPCS 58571

Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)

Facilitymedian $9,333 · 10th–90th $1,950–$16,2180%20%10th90th$9,333$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$2,511.89 / $9,332.54 / $16,218.10
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$10,964.78 / $10,964.78 / $10,964.78
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,071.52 / $1,862.09
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $46,773.51 / $79,432.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $15,135.61 / $23,442.29
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $28,840.32 / $28,840.32
Wellcare
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,884.03