CPT 58558

Hysteroscopy Bx Endometrium&/Polypc W/Wo D&C

CPT 58558 pays $1,269.90 in a non-facility setting and $204.41 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,101.74 in Arkansas to $1,477.52 in District of Columbia, a 34% spread.

National non-facility rate

$1,269.90

Office and other outpatient settings

Facility rate
$204.41

Hospital and ASC settings

Highest state
$1,477.52

District of Columbia

Lowest state
$1,101.74

Arkansas · 34% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $1,269.90
CPT 58558 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $1,269.90, national facility $204.41.
StateRate compared visuallyNon-facilityFacility
District of Columbia
$1,477.52$222.38
California
$1,467.19$206.42
Washington
$1,424.50$209.84
New Jersey
$1,418.74$219.00
New York
$1,413.30$224.64
Hawaii
$1,411.84$200.38
Massachusetts
$1,407.09$210.01
Alaska
$1,399.22$264.47
Connecticut
$1,363.13$215.60
Colorado
$1,337.30$203.62
Oregon
$1,323.72$201.23
Maryland
$1,320.70$209.93
New Hampshire
$1,312.40$203.23
Rhode Island
$1,306.51$205.87
Florida
$1,296.37$227.33
Minnesota
$1,285.16$188.77
Puerto Rico
$1,281.75$204.54
Virgin Islands
$1,281.75$204.54
Montana
$1,269.85$204.37
Nevada
$1,267.00$200.44
Wyoming
$1,263.65$198.16
North Dakota
$1,255.62$190.13
Delaware
$1,254.83$202.13
Illinois
$1,254.83$225.30
South Dakota
$1,253.93$188.45
Texas
$1,251.74$202.76
Pennsylvania
$1,250.03$206.39
Vermont
$1,246.92$192.09
Virginia
$1,243.96$196.59
Arizona
$1,232.03$199.57
Georgia
$1,223.78$207.30
Michigan
$1,212.00$211.50
Maine
$1,211.53$193.45
Wisconsin
$1,206.64$185.91
Utah
$1,200.85$199.30
North Carolina
$1,186.86$192.76
New Mexico
$1,182.61$205.56
South Carolina
$1,181.94$197.43
Missouri
$1,178.14$200.38
Indiana
$1,176.52$188.81
Louisiana
$1,174.47$201.68
Ohio
$1,173.53$200.74
Nebraska
$1,169.48$186.03
Idaho
$1,168.44$188.19
Iowa
$1,161.06$186.14
Tennessee
$1,157.77$189.24
Kansas
$1,151.42$188.22
Oklahoma
$1,145.78$194.30
Kentucky
$1,144.66$197.44
West Virginia
$1,134.87$208.96
Alabama
$1,120.73$188.42
Mississippi
$1,109.35$191.96
Arkansas
$1,101.74$186.49

Billed by 1 specialties

Commercial rates for 58558

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates