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Ectopic Pregnancy Surgery Sparing Tube And Ovary

Utah rates for HCPCS 59121

Removes a pregnancy that has implanted in a fallopian tube or on an ovary through an incision in the abdomen, while leaving the tube and ovary themselves in place. Keeping them preserves the chance of a future natural pregnancy, though a repaired tube can occasionally be the site of another ectopic pregnancy. A pregnancy outside the uterus cannot continue safely, because the tube can rupture and bleed heavily.

Rates data updated July 2026.

Facilitymedian $4,571 · 10th–90th $933$8,7100%10%10th90th$4,571Professionalmedian $933 · 10th–90th $741$2,3990%20%10th90th$933$50.0$200.0$1.0K$5.0K

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
$933.25
Median
$4,570.88
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$933.25
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,096.48
Typical High
$1,548.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,584.89
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,230.27
Typical High
$1,479.11
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Select Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,047.13
Typical High
$1,202.26
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,202.26
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$8,317.64
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$977.24
Typical High
$1,698.24