# CPT 58558: Hysteroscopy with biopsy and/or polypectomy

Medicare 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.

Web page: https://www.med-reveal.com/rates/58558-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Obstetrics & Gynecology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,269.90 |
| National facility | $204.41 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| 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 | $1,320.71 | $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 | $1,251.73 | $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 | $1,211.99 | $211.51 |
| Maine | $1,211.53 | $193.46 |
| 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 |

## Related codes

- 54150: Circumcision, using clamp/device, newborn — https://www.med-reveal.com/rates/54150-cpt-fee-schedule
- 54160: Circumcision, surgical excision, other than clamp, newborn — https://www.med-reveal.com/rates/54160-cpt-fee-schedule
- 54161: Circumcision, surgical excision, older than 28 days — https://www.med-reveal.com/rates/54161-cpt-fee-schedule
- 54405: Insertion of multi-component inflatable penile prosthesis — https://www.med-reveal.com/rates/54405-cpt-fee-schedule
- 54500: Biopsy of testis — https://www.med-reveal.com/rates/54500-cpt-fee-schedule
- 54520: Orchiectomy, simple — https://www.med-reveal.com/rates/54520-cpt-fee-schedule
- 54522: Orchiectomy, partial — https://www.med-reveal.com/rates/54522-cpt-fee-schedule
- 54600: Reduction of torsion of testis — https://www.med-reveal.com/rates/54600-cpt-fee-schedule

Commercial negotiated rates for 58558 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules