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Keyhole Tube Blocking With Clips or Rings

Utah 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?

$550

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $5,129 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 7 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$479$355 to $631
FacilityA hospital or hospital-owned outpatient department$5,129$4,169 to $7,762

How much rates vary

Facilitymedian $5,129 · 10th to 90th $479 to $9,772Professionalmedian $479 · 10th to 90th $324 to $813
$50.0$200.0$1.0K$5.0K$20.0Kfacility $5,129professional $479

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
$478.63
Median
$4,570.88
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$436.52
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$489.78
Typical High
$691.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$691.83
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$11,481.54
Typical High
$17,378.01
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$549.54
Typical High
$645.65
Select Health
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Select Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$467.74
Typical High
$549.54
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$549.54
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$5,128.61
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$446.68
Typical High
$776.25

Where Utah sits

The same service costs 14.1 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Utah $550 · 34th of 51
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.