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Keyhole Tube Blocking With Clips or Rings

Hawaii 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.

Rates data updated October 2026.

How much does Keyhole Tube Blocking With Clips or Rings cost?

$457

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $457 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $1,778 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$457$63.10 to $501
FacilityA hospital or hospital-owned outpatient department$1,778$1,259 to $3,802

How much rates vary

Facilitymedian $1,778 · 10th to 90th $1,259 to $4,467Professionalmedian $457 · 10th to 90th $30 to $4,365
$50$100$200$500$1K$2K$5Kfacility $1,778professional $457

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$2,818.38
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$371.54
Typical High
$407.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$398.11
Typical High
$501.19
United
Setting
Facility
Modifier
None
Typical Low
$3,090.30
Median
$3,801.89
Typical High
$7,079.46
United
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$549.54
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$446.68
Typical High
$6,025.60

Where Hawaii sits

The same service costs 9.3 times more in Kansas than in Utah. 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.

Hawaii· 42nd of 51

$457

KS $2,818UT $302

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.