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Keyhole Tube Blocking With Clips or Rings

Pennsylvania 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 July 2026.

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

$437

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $437 for this service. The price depends on where it is billed: about $363 from a physician practice, and about $4,266 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$363$331 to $427
FacilityA hospital or hospital-owned outpatient department$4,266$2,630 to $6,761

How much rates vary

Facilitymedian $4,266 · 10th to 90th $955 to $8,318Professionalmedian $363 · 10th to 90th $316 to $676
$500$1K$2K$5K$10Kfacility $4,266professional $363

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$4,570.88
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$363.08
Typical High
$588.84
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$10,000.00
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$446.68
Typical High
$691.83
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$575.44
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$457.09
Typical High
$707.95
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$3,801.89
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$371.54
Typical High
$1,584.89
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$478.63
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,949.84
Typical High
$3,388.44
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$371.54
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,165.95
Typical High
$17,782.79
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$426.58
Typical High
$741.31

Where Pennsylvania sits

The same service costs 14.1 times more in California than in West Virginia. 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.

Pennsylvania· 45th of 51

$437

CA $5,129WV $363

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.