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See a sample rate comparisonCPT 58350 Fee Schedule
Medicare rates as of October 2026
CPT 58350 is classified under Surgery, in the Surgical Procedures on the Female Genital System subgroup.
Fallopian Tube Dye Injection, A Procedure To Inject A Liquid Dye Through The Fallopian Tubes With The Aid Of A Scope (Laparoscopy).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | $143.29 national non-facility rate (2026) · View Medicare rates for 58350 |
| Medicaid Fee Schedule | $103.465 median of the 8 states in the free preview · View Medicaid rates for 58350 |
National average reimbursement for CPT 58350 by major payers:
$156.69
BCBS / Anthem
$152.08
UnitedHealthcare
$179.83
Aetna
$149.68
Cigna
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CPT 58350
5 of 25 sample ratesHigher to lower in this preview
Anchorage Surgicenter, LLC
$8,156.00Published rateSouthwest Endoscopy LLC
$3,570.00Published rateSouth Sound Surgery, PLLC, Auburn Surgical Center
South Sound Surgery PLLC
$1,948.00Published rateTidalhealth Surgery Center, LLC
$1,378.00Published rateGastroenterology Consultants Of Tuscaloosa Inc, Tuscaloosa Endoscopy Center
$100.00Published rate
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See a sample payer proposalCPT 58350 vs. Other Surgical Procedures on the Female Genital System Codes
The table lists codes related to 58350. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 58100-CPT | Low | Biopsy Of The Uterine Lining, A Procedure To Remove A Sample Of Tissue From The Lining Of The Uterus For Testing (Biopsy). The Procedure May Include Examining The Cervix With A Scope (Colposcopy) And Taking Tissue For Testing (Biopsy). |
| 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. |
| 58350-CPT | Low | Fallopian Tube Dye Injection, A Procedure To Inject A Liquid Dye Through The Fallopian Tubes With The Aid Of A Scope (Laparoscopy). |
| 58353-CPT | High | Remove Lining Of Uterus, Removal Of The Endometrium (Lining Of The Uterus) With Heated Or Super-Cooled Liquid. Ultrasound May Be Used To Assist Viewing 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 58350. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58350 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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