Billing code 58970: Oocyte retrievalMedicare rate & RVUs
Report oocyte retrieval when a reproductive specialist aspirates ovarian follicles to collect eggs for an assisted reproduction cycle.
Medicare pays $237.15 for 58970 nationally in the office and $172.68 in a hospital or facility. Local office rates run $213.08–$292.27.
Medicare rate · 58970
Oocyte retrieval
Swap in your local Medicare rate.
- Work RVUs
- 3.43
- Total RVUs
- 7.10
- Global days
- 000
National rate · 2026
$237.15
Office setting, before claim adjustments.
See every locality for 58970 → · Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 10 sections
What 58970 covers
A reproductive endocrinologist or other qualified physician typically retrieves oocytes after ovarian stimulation, commonly using a needle guided by transvaginal ultrasound to aspirate fluid from ovarian follicles. The procedure is performed as part of an assisted reproduction cycle; the collected follicular fluid and oocytes then go to the embryology laboratory for identification and related laboratory work.
Report the retrieval procedure, not a separate unit for each oocyte collected. The record should support the follicular aspiration and its purpose in the treatment cycle. The 0-day global period includes same-day preoperative and postoperative care. When other procedures subject to the multiple procedure rule occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. An assistant is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 58970 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$213.08 to $292.27
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $215.73 | $159.33 |
| Alaska* | $292.27 | $223.61 |
| Arizona | $231.12 | $168.65 |
| Arkansas | $213.08 | $157.71 |
| Atlanta | $243.10 | $177.60 |
| Austin | $241.10 | $172.89 |
| Bakersfield | $241.49 | $170.84 |
| Baltimore/Surr. Cntys | $251.16 | $181.99 |
| Beaumont | $226.49 | $167.83 |
| Brazoria | $232.80 | $168.92 |
| Chicago | $263.98 | $199.20 |
| Chico | $239.83 | $169.17 |
| Colorado | $240.79 | $172.20 |
| Connecticut | $251.50 | $182.07 |
| Dallas | $234.97 | $170.76 |
| Dc + Md/Va Suburbs | $263.87 | $187.93 |
| Delaware | $234.49 | $170.80 |
| Detroit | $247.06 | $184.86 |
| East St. Louis | $248.90 | $189.59 |
| El Centro | $239.92 | $169.27 |
| Fort Lauderdale | $254.41 | $189.10 |
| Fort Worth | $234.20 | $170.63 |
| Fresno | $239.83 | $169.17 |
| Galveston | $233.95 | $169.94 |
| Hanford-Corcoran | $239.83 | $169.17 |
| Hawaii, Guam | $242.94 | $169.65 |
| Houston | $244.75 | $180.74 |
| Idaho | $218.53 | $159.22 |
| Indiana | $219.51 | $159.75 |
| Iowa | $216.52 | $157.53 |
| Kansas | $217.50 | $159.22 |
| Kentucky | $224.05 | $166.74 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $254.05 | $177.79 |
| Madera | $239.83 | $169.17 |
| Manhattan | $272.69 | $197.79 |
| Merced | $239.83 | $169.17 |
| Metropolitan Boston | $259.63 | $182.66 |
| Metropolitan Kansas City | $230.42 | $169.89 |
| Metropolitan Philadelphia | $247.23 | $180.12 |
| Metropolitan St. Louis | $232.25 | $170.88 |
| Miami | $271.50 | $204.39 |
| Minnesota | $226.26 | $159.92 |
| Mississippi | $217.70 | $162.20 |
| Modesto | $239.83 | $169.17 |
| Montana** | $237.11 | $172.64 |
| Napa | $267.38 | $182.42 |
| Nebraska | $216.97 | $157.47 |
| Nevada** | $233.96 | $169.43 |
| New Hampshire | $238.90 | $171.79 |
| New Mexico | $232.57 | $173.46 |
| New Orleans | $233.76 | $173.10 |
| North Carolina | $223.14 | $163.00 |
| North Dakota** | $225.44 | $160.98 |
| Northern Nj | $262.16 | $187.39 |
| Nyc Suburbs/Long Island | $280.81 | $204.16 |
| Ohio | $228.35 | $169.50 |
| Oklahoma | $221.74 | $164.18 |
| Oxnard-Thousand Oaks-Ventura | $251.65 | $175.45 |
| Portland | $245.35 | $173.73 |
| Poughkpsie/N Nyc Suburbs | $256.21 | $185.63 |
| Puerto Rico | $237.98 | $172.81 |
| Queens | $271.91 | $195.72 |
| Redding | $239.83 | $169.17 |
| Rest Of California | $239.83 | $169.17 |
| Rest Of Florida | $242.53 | $180.90 |
| Rest Of Georgia | $229.82 | $172.32 |
| Rest Of Illinois | $239.29 | $180.44 |
| Rest Of Louisiana | $224.49 | $167.44 |
| Rest Of Maine | $221.47 | $162.16 |
| Rest Of Maryland | $237.91 | $172.67 |
| Rest Of Massachusetts | $240.43 | $172.55 |
| Rest Of Michigan | $230.74 | $171.88 |
| Rest Of Missouri | $222.44 | $166.87 |
| Rest Of New Jersey | $253.11 | $182.71 |
| Rest Of New York | $226.15 | $164.91 |
| Rest Of Oregon | $230.88 | $166.68 |
| Rest Of Pennsylvania | $227.63 | $168.45 |
| Rest Of Texas | $229.99 | $168.81 |
| Rest Of Washington | $239.38 | $171.50 |
| Rhode Island | $240.59 | $174.00 |
| Riverside-San Bernardino-Ontario | $246.19 | $175.54 |
| Sacramento-Roseville-Folsom | $248.90 | $173.92 |
| Salinas | $247.91 | $173.20 |
| San Diego-Chula Vista-Carlsbad | $251.72 | $174.62 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $279.55 | $188.65 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $278.88 | $187.98 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $286.08 | $193.12 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $283.34 | $190.38 |
| San Luis Obispo-Paso Robles | $244.25 | $170.83 |
| Santa Cruz-Watsonville | $252.53 | $174.20 |
| Santa Maria-Santa Barbara | $248.29 | $173.12 |
| Santa Rosa-Petaluma | $254.89 | $175.73 |
| Seattle (King Cnty) | $262.62 | $183.52 |
| South Carolina | $226.37 | $166.81 |
| South Dakota** | $224.06 | $159.60 |
| Southern Maine | $228.95 | $165.07 |
| Stockton | $239.83 | $169.17 |
| Suburban Chicago | $255.94 | $189.74 |
| Tennessee | $218.66 | $160.06 |
| Utah | $228.96 | $168.37 |
| Vallejo | $266.42 | $181.45 |
| Vermont | $226.38 | $162.56 |
| Virgin Islands | $237.98 | $172.81 |
| Virginia | $229.60 | $166.24 |
| Visalia | $239.83 | $169.17 |
| West Virginia | $232.16 | $176.14 |
| Wisconsin | $219.19 | $157.43 |
| Wyoming** | $232.02 | $167.56 |
| Yuba City | $239.83 | $169.17 |
58970 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$213.08
$292.27
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $292.27 | 1 |
| AL | $215.73 | 1 |
| AR | $213.08 | 1 |
| AZ | $231.12 | 1 |
| CA | $239.83–$286.08 | 29 |
| CO | $240.79 | 1 |
| CT | $251.50 | 1 |
| DC | $263.87 | 1 |
| DE | $234.49 | 1 |
| FL | $242.53–$271.50 | 3 |
| GA | $229.82–$243.10 | 2 |
| GU | $242.94 | 1 |
| HI | $242.94 | 1 |
| IA | $216.52 | 1 |
| ID | $218.53 | 1 |
| IL | $239.29–$263.98 | 4 |
| IN | $219.51 | 1 |
| KS | $217.50 | 1 |
| KY | $224.05 | 1 |
| LA | $224.49–$233.76 | 2 |
| MA | $240.43–$259.63 | 2 |
| MD | $237.91–$263.87 | 3 |
| ME | $221.47–$228.95 | 2 |
| MI | $230.74–$247.06 | 2 |
| MN | $226.26 | 1 |
| MO | $222.44–$232.25 | 3 |
| MS | $217.70 | 1 |
| MT | $237.11 | 1 |
| NC | $223.14 | 1 |
| ND | $225.44 | 1 |
| NE | $216.97 | 1 |
| NH | $238.90 | 1 |
| NJ | $253.11–$262.16 | 2 |
| NM | $232.57 | 1 |
| NV | $233.96 | 1 |
| NY | $226.15–$280.81 | 5 |
| OH | $228.35 | 1 |
| OK | $221.74 | 1 |
| OR | $230.88–$245.35 | 2 |
| PA | $227.63–$247.23 | 2 |
| PR | $237.98 | 1 |
| RI | $240.59 | 1 |
| SC | $226.37 | 1 |
| SD | $224.06 | 1 |
| TN | $218.66 | 1 |
| TX | $226.49–$244.75 | 8 |
| UT | $228.96 | 1 |
| VA | $229.60–$263.87 | 2 |
| VI | $237.98 | 1 |
| VT | $226.38 | 1 |
| WA | $239.38–$262.62 | 2 |
| WI | $219.19 | 1 |
| WV | $232.16 | 1 |
| WY | $232.02 | 1 |
How the 58970 rate is calculated
Each of 58970’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 58970
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 3.43Practice expense 3.08Malpractice 0.59
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 58970
The CMS indicators that decide how 58970 is paid alongside other services.
CMS payment indicators · 58970
Oocyte retrieval
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
58970 without 51 · national office
$237.15
Oocyte retrieval
58970-51 · Second procedure: 50%
$118.58
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
58970 compared with similar codes
Compare codes
58970 vs 58974 vs 89254 vs 58900: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 58974Embryo transfer intrauterine
- 58970 collects oocytes from ovarian follicles; 58974 transfers an embryo into the uterus.
- 89254Oocyte identification
- 58970 is the physician's follicular retrieval procedure. 89254 describes laboratory identification of oocytes in the collected follicular fluid.
- 58900Ovarian biopsy
- 58970 collects oocytes for assisted reproduction. 58900 is used for ovarian biopsy to obtain tissue for diagnostic evaluation.
58970 billing questions
How is this different from embryo transfer?
Oocyte retrieval collects eggs from ovarian follicles. Embryo transfer (58974) places an embryo into the uterus later in the treatment process.
Is retrieval reported once per oocyte?
Report the retrieval procedure for the session, rather than assigning a separate unit for each oocyte collected.
Can modifier 50 be used for retrieval from both ovaries?
No. CMS identifies bilateral adjustment as inappropriate for this service; modifier 50 should not be used.
Is same-day recovery care included?
Yes. The 0-day global period includes same-day preoperative and postoperative care.
When is an assistant at surgery payable?
Only when the record documents medical necessity. Co-surgeons and team surgery are not permitted for this service.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other eligible procedures are paid at 50%.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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