How Much Does Hysteroscopy Biopsy Cost?
Also known as: Hysteroscopy biopsy (CPT 58558)
Hysteroscopy with removal of uterine polyp or fibroid.
The total estimated cost of Hysteroscopy Biopsy (CPT 58558) is $687 to $1,288, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $204.
Total Estimated Cost of Care
This estimate includes hospital facility fees, anesthesia, and supplies .
Patient Guide: Hysteroscopy Biopsy
What you need to know before your appointment
What to Expect
During hysteroscopy, the doctor removes polyps or small fibroids from inside the uterus using a specialized tool through the scope.
How Long Does It Take?
20-45 minutes
Common Reasons Doctors Order This
Uterine polyp removal, submucosal fibroid removal, abnormal bleeding treatment
How to Prepare
Follow pre-procedure instructions. Take ibuprofen before if directed. Arrange a driver if sedation is used.
Procedures Commonly Done Together
These procedures are frequently performed alongside Hysteroscopy biopsy
How to Reduce Your Cost for Hysteroscopy biopsy
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
For this procedure, the office rate ($1,270) differs from the facility rate ($204). Ask if it can be done in an office setting.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (38.02) x CF ($33.40) = $1,270
Related Procedures
Similar procedures in the same category or body system
People Also Ask
Common questions people search for about this procedure
Is a D&C a major surgery?
D&C is regarded as a relatively minor procedure and can be done as day surgery, but a general anaesthetic is usually given.
Is DNC covered by insurance?
Many health insurance plans cover some or all of the cost of a D&C — generally, when it's medically necessary. As an aside: Your health plan may cover mifepristone (Mifeprex) and misoprostol (Cytotec), which are used together for a medical abortion, also known as a medication abortion.
How much is a DNC out of pocket?
"And you may not always have access to the specific claims and codes until it's all said and done." A D&C for a miscarriage costs, on average, around ,000 out of pocket (sometimes more) even if you have insurance, according to FAIR Health, a national nonprofit. For those without insurance, it can cost up to ,000.
How painful is the D&C procedure?
Because you're either unconscious or sedated during a D&C , you shouldn't feel any discomfort.
Frequently Asked Questions
How much does Hysteroscopy biopsy cost?
The Medicare facility rate for Hysteroscopy biopsy is $204. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Hysteroscopy biopsy cost without insurance?
Without insurance, the cost of Hysteroscopy biopsy can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover Hysteroscopy biopsy?
Most commercial health insurance plans and Medicare cover Hysteroscopy biopsy when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.