go back

Keyhole Tube Blocking With Clips or Rings

Alaska rates for HCPCS 58671

Permanent birth control carried out through keyhole surgery: a camera and instruments are passed through small cuts in the abdomen, and each fallopian tube is closed off with a clip, band or ring so eggs can no longer meet sperm.

Facilitymedian $871 · 10th–90th $372$12,3030%10%10th90th$871Professionalmedian $417 · 10th–90th $324$1,7780%20%10th90th$417$100.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$10,964.78
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$371.54
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$436.52
Typical High
$1,230.27
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$549.54
Typical High
$2,454.71
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$1,071.52
Typical High
$2,570.40
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$2,089.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$524.81
Typical High
$2,454.71
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$831.76
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$12,302.69
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$1,000.00
Typical High
$2,344.23