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Keyhole Tube Blocking With Clips or Rings

Massachusetts 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 $3,311 · 10th–90th $372$6,9180%5%10%10th90th$3,311Professionalmedian $437 · 10th–90th $324$1,0470%10%10th90th$437$100.0$500.0$2.0K$10.0K$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
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,311.31
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$371.54
Typical High
$1,047.13
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$8,709.64
Typical High
$45,708.82
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$537.03
Typical High
$2,951.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,148.15
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$602.56
Typical High
$1,230.27
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$426.58
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$363.08
Typical High
$549.54
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$6,918.31
Typical High
$15,488.17
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$616.60
Typical High
$1,047.13
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$8,709.64
Typical High
$45,708.82
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$537.03
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$6,165.95
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$1,412.54