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See a sample rate comparisonCPT 58323 Fee Schedule
Medicare rates as of October 2026
CPT 58323 is classified under Surgery, in the Surgical Procedures on the Female Genital System subgroup.
Sperm Washing For Artificial Insemination
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 11 - Office 81 - Independent Laboratory 49 - Independent Clinic |
| Common Modifiers | 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $14.70 national non-facility rate (2026) · View Medicare rates for 58323 |
| Medicaid Fee Schedule | View Medicaid rates for 58323 |
National average reimbursement for CPT 58323 by major payers:
$21.97
BCBS / Anthem
$23.65
UnitedHealthcare
$23.42
Aetna
$26.56
Cigna
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CPT 58323
5 of 25 sample ratesHigher to lower in this preview
Jade Stafford
Emory University
$182.52Published rateAdam Repole
$32.29Published rateRobert Schaefer
$24.29Published rateMolly Roy
Affiliated Oncologists, LLC
$18.20Published rateRobert Mora
New York City Health And Hospitals Corporation
$14.01Published rate
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See a sample payer proposalCPT 58323 vs. Other Surgical Procedures on the Female Genital System Codes
The table lists codes related to 58323. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 58120-CPT | Moderate | Removal Of Uterine Lining, A Procedure To Open The Cervix Manually And Scrape Out The Lining Of The Uterus. The Procedure Is Commonly Referred To As A D And C (Dilation And Curettage). |
| 58300-CPT | Low | Insert Birth Control Device, Fitting Insertion And Instructions For Using A Birth Control Device: Diaphragm Cervical Cap Or Iud (Intrauterine Device). |
| 58321-CPT | Low | Artificial Insemination, Artificial Insemination Is A Procedure That Places Sperm Into The Uterus To Increase The Likelihood Of Becoming Pregnant. |
| 58323-CPT | Low | Sperm Washing For Artificial Insemination |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58323. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58323 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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