What is a CPT code and why is it important for understanding medical costs?

CPT stands for Current Procedural Terminology. CPT codes are a standardized set of five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services. They are crucial for billing and insurance purposes, ensuring consistency in how services are identified and priced across different providers and locations. Knowing the CPT code for a service helps you research its potential cost.

How can I find the cost of a specific medical procedure or service?

To find the cost of a specific medical procedure or service, especially for your particular situation and location, you can utilize online fee schedule lookup tools. Payerprice offers a dedicated tool that allows users to search for pricing information using a specific CPT code and their location, providing transparency on potential costs.

Why do medical procedure prices vary so much between different healthcare providers or locations?

Medical procedure prices can vary significantly due to several factors, including the specific provider's negotiated rates with insurance companies, the geographic location, the type of facility (e.g., hospital vs. outpatient clinic), the complexity of the procedure, and the specific services included in the billing. For personalized cost estimates based on your CPT code and location, Payerprice's fee schedule lookup tool can provide valuable insights.

Can Payerprice help me understand my out-of-pocket costs even if I have insurance?

Yes, Payerprice can be very helpful even if you have insurance. While your insurance plan determines your final out-of-pocket expenses (like deductibles, co-pays, and co-insurance), Payerprice can provide transparency on the underlying cash or negotiated rates for procedures. This information empowers you to compare costs, understand the value of services, and potentially negotiate with providers or better anticipate your financial responsibility. It offers a clear view of the initial costs before insurance adjustments.

What information do I need to use Payerprice's fee schedule lookup tool effectively?

To use Payerprice's fee schedule lookup tool effectively, you will primarily need the specific CPT code for the medical procedure or service you are interested in. Additionally, providing your specific location (e.g., zip code) will allow the tool to return the most relevant and localized pricing information available in their database.

CPT 58340 Fee Schedule

Last Verified: September 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Catheter For Hysterography, Catheterization And Introduction Of Saline Or Contrast Material For Saline Infusion Sonohysterography (Sis) Or Hysterosalpingography

Key Fact	Detail
Service Type	Surgery Surgical Procedures on the Female Genital System
Common Place of Service	11 - Office 22 - On Campus Outpatient Hospital
Common Modifiers	None 59 - Distinct Procedural Service 51 - Multiple procedures
Complexity Level	Moderate
Medicare Fee Schedule	View Medicare rates for 58340
Medicaid Fee Schedule	View Medicaid rates for 58340

National average reimbursement for CPT 58340 by major payers:

$227.71

$228.39

$271.95

$132.71

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CPT 58340

5 of 25 sample ratesHigher to lower in this preview

Tanya Maagdenberg
Sutter Valley Medical Foundation
CAObstetrics & Gynecology PhysicianNPI 1093762833Tax ID 68-0273974
$928.75Published rate
Nancy Towbin
CAGynecology PhysicianNPI 1235233222Tax ID 33-0567576
$292.94Published rate
Gregory Defazio
NYObstetrics & Gynecology PhysicianNPI 1164495628Tax ID 11-8669043
$268.48Published rate
Chia-Lien Wang
Texas Childrens Physician Group
TXObstetrics & Gynecology PhysicianNPI 1689641656Tax ID 26-0834681
$221.77Published rate
Kerry Cook
Town Center Orthopaedic Associates, P.C.
VAMedical Physician AssistantNPI 1720344229Tax ID 54-1383504
$79.27Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 58340 vs. Other Surgical Procedures on the Female Genital System Codes

The CPT 58340 code is part of the Surgery services used for Surgical Procedures on the Female Genital System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 58340 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
58290-CPT	High	Vaginal Hysterectomy, Surgery To Remove The Uterus Through The Cervix (Vaginal Hysterectomy). The Procedure May Be Aided By A Scope (Laparoscope). The Fallopian Tubes Or Ovaries Also May Be Removed.
58322-CPT	Low	Artificial Insemination, Artificial Insemination Is A Procedure That Places Sperm Into The Uterus To Increase The Likelihood Of Becoming Pregnant.
58340-CPT	Moderate	Catheter For Hysterography, Catheterization And Introduction Of Saline Or Contrast Material For Saline Infusion Sonohysterography (Sis) Or Hysterosalpingography
58345-CPT	Moderate	Place Fallopian Tube Catheter, Placement Of A Small Tube (Catheter) Into A Fallopian Tube To Enable Liquid To Flow Through. The Procedure May Use A Scope (Hysterosalpingoscope) To View The Area.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58340. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 58340 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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CPT 58340 Fee Schedule

Tanya Maagdenberg

Nancy Towbin

Gregory Defazio

Chia-Lien Wang

Kerry Cook