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See a sample rate comparisonCPT 58340 Fee Schedule
Medicare rates as of October 2026
CPT 58340 is classified under Surgery, in the Surgical Procedures on the Female Genital System subgroup.
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 | 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $236.81 national non-facility rate (2026) · View Medicare rates for 58340 |
| Medicaid Fee Schedule | $186.32 median of the 8 states in the free preview · View Medicaid rates for 58340 |
National average reimbursement for CPT 58340 by major payers:
$227.71
BCBS / Anthem
$228.39
UnitedHealthcare
$271.95
Aetna
$132.71
Cigna
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CPT 58340
5 of 25 sample ratesHigher to lower in this preview
Tanya Maagdenberg
Sutter Valley Medical Foundation
$928.75Published rateNancy Towbin
$292.94Published rateGregory Defazio
$268.48Published rateChia-Lien Wang
Texas Childrens Physician Group
$221.77Published rateKerry Cook
Town Center Orthopaedic Associates, P.C.
$79.27Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 58340 vs. Other Surgical Procedures on the Female Genital System Codes
The table lists codes related to 58340. Select one to see its fee schedule.
| 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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Frequently Asked Questions
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.
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.
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.
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.
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.