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CMS RVU26D · Effective 2026-10-01

58321 in Austin

Office / nonfacility

$86.10

Base rate per service

Facility setting

$41.57

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Fertility treatment

About 58321: Intrauterine sperm insemination

Reports placement of prepared sperm into the uterine cavity by catheter during fertility treatment, such as a planned intrauterine insemination cycle.

A clinician passes a thin catheter through the cervix and deposits sperm into the uterine cavity, commonly as part of a timed fertility treatment cycle. Gynecologists and reproductive endocrinologists typically perform the procedure in a fertility clinic or office. The sperm may come from a partner or donor; the insemination technique, rather than the sperm source, distinguishes this service from intracervical insemination.

Choose this code when sperm is placed in the uterus, and document the insemination site and procedure performed. Report sperm washing separately when that service is performed and documented. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. With multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 58321

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU0.90 · 36%
  • Practice expense (office) RVU1.45 · 58%
  • Malpractice RVU0.16 · 6%

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.

58321 compared with similar codes

Office rates for Austin, from the same CMS release.

58322

Artificial insemination

Intrauterine placement

$95.15

The site of sperm placement determines the code: uterine cavity for 58321, cervix for 58322.

58323

Sperm washing

For artificial insemination

$14.91

This code represents sperm washing, not catheter placement of sperm into the uterine cavity.

58974

Embryo transfer intrauterine

No office rate

This code reports transfer of an embryo in an IVF cycle, not insemination with sperm.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 58321 is $79.10—$7.00 lower than the $86.10 rate in Austin. Both use the same code, release and participation basis.

58321 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $86.10

  2. Beaumont

    $79.10

    $7.00 lower than Austin

  3. Brazoria

    $82.47

    $3.63 lower than Austin

  4. Dallas

    $83.15

    $2.95 lower than Austin

  5. Fort Worth

    $82.74

    $3.36 lower than Austin

  6. Galveston

    $82.82

    $3.28 lower than Austin

  7. Houston

    $85.75

    $0.35 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 58321 ranges from $74.42 in Arkansas to $106.07 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 58321

    Office

    $80.85

    Facility

    $40.91

    $5.25 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 58321

    Office

    $92.14

    Facility

    $42.35

    $6.04 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 58321

    Office

    $94.68

    Facility

    $45.11

    $8.58 higher than Austin for the office setting.

  • Miami

    Florida · 58321

    Office

    $93.99

    Facility

    $50.18

    $7.89 higher than Austin for the office setting.

  • Chicago

    Illinois · 58321

    Office

    $91.21

    Facility

    $48.91

    $5.11 higher than Austin for the office setting.

  • Manhattan

    New York · 58321

    Office

    $96.74

    Facility

    $47.83

    $10.64 higher than Austin for the office setting.

  • Alaska*

    Alaska · 58321

    Office

    $99.62

    Facility

    $54.79

    $13.52 higher than Austin for the office setting.

  • Alabama

    Alabama · 58321

    Office

    $75.46

    Facility

    $38.64

    $10.64 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 58321

    Office

    $74.42

    Facility

    $38.26

    $11.68 lower than Austin for the office setting.

  • Arizona

    Arizona · 58321

    Office

    $81.57

    Facility

    $40.78

    $4.53 lower than Austin for the office setting.

  • Bakersfield

    California · 58321

    Office

    $86.97

    Facility

    $40.84

    $0.87 higher than Austin for the office setting.

  • Chico

    California · 58321

    Office

    $86.52

    Facility

    $40.39

    $0.42 higher than Austin for the office setting.

  • El Centro

    California · 58321

    Office

    $86.54

    Facility

    $40.42

    $0.44 higher than Austin for the office setting.

  • Fresno

    California · 58321

    Office

    $86.52

    Facility

    $40.39

    $0.42 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 58321

    Office

    $86.52

    Facility

    $40.39

    $0.42 higher than Austin for the office setting.

  • Madera

    California · 58321

    Office

    $86.52

    Facility

    $40.39

    $0.42 higher than Austin for the office setting.

  • Merced

    California · 58321

    Office

    $86.52

    Facility

    $40.39

    $0.42 higher than Austin for the office setting.

  • Modesto

    California · 58321

    Office

    $86.52

    Facility

    $40.39

    $0.42 higher than Austin for the office setting.

  • Napa

    California · 58321

    Office

    $98.50

    Facility

    $43.03

    $12.40 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 58321

    Office

    $91.48

    Facility

    $41.73

    $5.38 higher than Austin for the office setting.

  • Redding

    California · 58321

    Office

    $86.52

    Facility

    $40.39

    $0.42 higher than Austin for the office setting.

  • Rest Of California

    California · 58321

    Office

    $86.52

    Facility

    $40.39

    $0.42 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 58321

    Office

    $88.24

    Facility

    $42.12

    $2.14 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 58321

    Office

    $90.33

    Facility

    $41.39

    $4.23 higher than Austin for the office setting.

  • Salinas

    California · 58321

    Office

    $89.99

    Facility

    $41.21

    $3.89 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 58321

    Office

    $91.78

    Facility

    $41.45

    $5.68 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 58321

    Office

    $103.66

    Facility

    $44.32

    $17.56 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 58321

    Office

    $103.48

    Facility

    $44.14

    $17.38 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 58321

    Office

    $106.07

    Facility

    $45.38

    $19.97 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 58321

    Office

    $105.33

    Facility

    $44.64

    $19.23 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 58321

    Office

    $88.60

    Facility

    $40.66

    $2.50 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 58321

    Office

    $92.40

    Facility

    $41.27

    $6.30 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 58321

    Office

    $90.24

    Facility

    $41.17

    $4.14 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 58321

    Office

    $93.30

    Facility

    $41.62

    $7.20 higher than Austin for the office setting.

  • Stockton

    California · 58321

    Office

    $86.52

    Facility

    $40.39

    $0.42 higher than Austin for the office setting.

  • Vallejo

    California · 58321

    Office

    $98.24

    Facility

    $42.77

    $12.14 higher than Austin for the office setting.

  • Visalia

    California · 58321

    Office

    $86.52

    Facility

    $40.39

    $0.42 higher than Austin for the office setting.

  • Yuba City

    California · 58321

    Office

    $86.52

    Facility

    $40.39

    $0.42 higher than Austin for the office setting.

  • Colorado

    Colorado · 58321

    Office

    $86.13

    Facility

    $41.35

    $0.03 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 58321

    Office

    $89.29

    Facility

    $43.96

    $3.19 higher than Austin for the office setting.

  • Delaware

    Delaware · 58321

    Office

    $82.87

    Facility

    $41.29

    $3.23 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 58321

    Office

    $88.78

    Facility

    $46.15

    $2.68 higher than Austin for the office setting.

  • Rest Of Florida

    Florida · 58321

    Office

    $84.39

    Facility

    $44.16

    $1.71 lower than Austin for the office setting.

  • Atlanta

    Georgia · 58321

    Office

    $85.78

    Facility

    $43.02

    $0.32 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 58321

    Office

    $79.63

    Facility

    $42.09

    $6.47 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 58321

    Office

    $88.22

    Facility

    $40.37

    $2.12 higher than Austin for the office setting.

  • Iowa

    Iowa · 58321

    Office

    $76.50

    Facility

    $37.99

    $9.60 lower than Austin for the office setting.

  • Idaho

    Idaho · 58321

    Office

    $77.15

    Facility

    $38.43

    $8.95 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 58321

    Office

    $85.38

    Facility

    $46.66

    $0.72 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 58321

    Office

    $82.63

    Facility

    $44.21

    $3.47 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 58321

    Office

    $89.48

    Facility

    $46.26

    $3.38 higher than Austin for the office setting.

  • Indiana

    Indiana · 58321

    Office

    $77.55

    Facility

    $38.54

    $8.55 lower than Austin for the office setting.

  • Kansas

    Kansas · 58321

    Office

    $76.54

    Facility

    $38.49

    $9.56 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 58321

    Office

    $78.01

    Facility

    $40.59

    $8.09 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 58321

    Office

    $81.71

    Facility

    $42.10

    $4.39 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 58321

    Office

    $78.04

    Facility

    $40.80

    $8.06 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 58321

    Office

    $93.88

    Facility

    $43.63

    $7.78 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 58321

    Office

    $85.80

    Facility

    $41.48

    $0.30 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 58321

    Office

    $89.12

    Facility

    $43.96

    $3.02 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 58321

    Office

    $84.28

    Facility

    $41.69

    $1.82 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 58321

    Office

    $77.94

    Facility

    $39.22

    $8.16 lower than Austin for the office setting.

  • Southern Maine

    Maine · 58321

    Office

    $81.43

    Facility

    $39.72

    $4.67 lower than Austin for the office setting.

  • Detroit

    Michigan · 58321

    Office

    $85.81

    Facility

    $45.20

    $0.29 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 58321

    Office

    $80.31

    Facility

    $41.89

    $5.79 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 58321

    Office

    $81.48

    Facility

    $38.17

    $4.62 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 58321

    Office

    $80.76

    Facility

    $41.24

    $5.34 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 58321

    Office

    $81.52

    Facility

    $41.46

    $4.58 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 58321

    Office

    $77.01

    Facility

    $40.74

    $9.09 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 58321

    Office

    $75.71

    Facility

    $39.47

    $10.39 lower than Austin for the office setting.

  • Montana**

    Montana · 58321

    Office

    $83.83

    Facility

    $41.74

    $2.27 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 58321

    Office

    $78.66

    Facility

    $39.40

    $7.44 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 58321

    Office

    $80.66

    Facility

    $38.58

    $5.44 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 58321

    Office

    $76.78

    Facility

    $37.94

    $9.32 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 58321

    Office

    $85.15

    Facility

    $41.34

    $0.95 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 58321

    Office

    $93.84

    Facility

    $45.02

    $7.74 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 58321

    Office

    $90.01

    Facility

    $44.06

    $3.91 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 58321

    Office

    $80.89

    Facility

    $42.30

    $5.21 lower than Austin for the office setting.

  • Nevada**

    Nevada · 58321

    Office

    $82.99

    Facility

    $40.86

    $3.11 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 58321

    Office

    $99.49

    Facility

    $49.45

    $13.39 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 58321

    Office

    $90.91

    Facility

    $44.83

    $4.81 higher than Austin for the office setting.

  • Queens

    New York · 58321

    Office

    $96.94

    Facility

    $47.19

    $10.84 higher than Austin for the office setting.

  • Rest Of New York

    New York · 58321

    Office

    $79.83

    Facility

    $39.85

    $6.27 lower than Austin for the office setting.

  • Ohio

    Ohio · 58321

    Office

    $79.67

    Facility

    $41.24

    $6.43 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 58321

    Office

    $77.46

    Facility

    $39.88

    $8.64 lower than Austin for the office setting.

  • Portland

    Oregon · 58321

    Office

    $88.33

    Facility

    $41.57

    $2.23 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 58321

    Office

    $82.06

    Facility

    $40.14

    $4.04 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 58321

    Office

    $87.39

    Facility

    $43.58

    $1.29 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 58321

    Office

    $79.57

    Facility

    $40.94

    $6.53 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 58321

    Office

    $84.29

    Facility

    $41.74

    $1.81 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 58321

    Office

    $85.43

    Facility

    $41.95

    $0.67 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 58321

    Office

    $79.35

    Facility

    $40.47

    $6.75 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 58321

    Office

    $80.29

    Facility

    $38.20

    $5.81 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 58321

    Office

    $76.95

    Facility

    $38.70

    $9.15 lower than Austin for the office setting.

  • Utah

    Utah · 58321

    Office

    $80.39

    Facility

    $40.83

    $5.71 lower than Austin for the office setting.

  • Virginia

    Virginia · 58321

    Office

    $81.44

    Facility

    $40.07

    $4.66 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 58321

    Office

    $84.29

    Facility

    $41.74

    $1.81 lower than Austin for the office setting.

  • Vermont

    Vermont · 58321

    Office

    $80.71

    Facility

    $39.05

    $5.39 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 58321

    Office

    $85.52

    Facility

    $41.20

    $0.58 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 58321

    Office

    $95.36

    Facility

    $43.72

    $9.26 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 58321

    Office

    $78.10

    Facility

    $37.79

    $8.00 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 58321

    Office

    $79.80

    Facility

    $43.22

    $6.30 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 58321

    Office

    $82.45

    Facility

    $40.36

    $3.65 lower than Austin for the office setting.

See how rates vary across the country

58321 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$74.42

$99.62

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$99.621
AL$75.461
AR$74.421
AZ$81.571
CA$86.52–$106.0729
CO$86.131
CT$89.291
DC$94.681
DE$82.871
FL$84.39–$93.993
GA$79.63–$85.782
GU$88.221
HI$88.221
IA$76.501
ID$77.151
IL$82.63–$91.214
IN$77.551
KS$76.541
KY$78.011
LA$78.04–$81.712
MA$85.80–$93.882
MD$84.28–$94.683
ME$77.94–$81.432
MI$80.31–$85.812
MN$81.481
MO$77.01–$81.523
MS$75.711
MT$83.831
NC$78.661
ND$80.661
NE$76.781
NH$85.151
NJ$90.01–$93.842
NM$80.891
NV$82.991
NY$79.83–$99.495
OH$79.671
OK$77.461
OR$82.06–$88.332
PA$79.57–$87.392
PR$84.291
RI$85.431
SC$79.351
SD$80.291
TN$76.951
TX$79.10–$86.108
UT$80.391
VA$81.44–$94.682
VI$84.291
VT$80.711
WA$85.52–$95.362
WI$78.101
WV$79.801
WY$82.451

Explore 58321 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 58321 in Austin, the physician’s office rate is $86.10 and the facility-setting rate is $41.57: a difference of $44.53.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 58321 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$94.71

$86.10 × 110% = $94.71

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 58321 in Austin.

PPRRVU2026_Oct_nonQPP.csv

6,542

Code
58321
Physician work
0.90
Practice expense
1.45
Malpractice
0.16

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 58321 in Austin
ComponentRVULocality factorAdjusted
Physician work0.90× 1.0020.9018
Practice expense1.45× 1.0581.5341
Malpractice0.16× 0.8860.1418
Total RVUs2.5777
Conversion factor× 33.4009

Office / nonfacility rate, Austin$86.10

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 58321 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.91.002
Practice expense1.451.058
Malpractice0.160.886

(0.9 × 1.002 + 1.45 × 1.058 + 0.16 × 0.886) × $33.4009 = $86.10

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.91.002
Practice expense0.191.058
Malpractice0.160.886

(0.9 × 1.002 + 0.19 × 1.058 + 0.16 × 0.886) × $33.4009 = $41.57

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

58321 · Office / nonfacility

$86.10

Effective 2026-10-01

The base rate is $4.24 higher than on 2025-10-01, moving from $81.86 to $86.10 (5.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $81.86changed to$86.10

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.92 changed to 0.90
    • Practice expense RVU 1.40 changed to 1.45
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $81.86

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$86.10$41.57RVU26D
2026-07-01$86.10$41.57RVU26C
2026-04-01$86.10$41.57RVU26B
2026-01-01$86.10$41.57RVU26A
2025-10-01$81.86$46.67RVU25D
2025-07-01$81.86$46.67RVU25C
2025-04-01$81.86$46.67RVU25B
2025-01-01$81.86$46.67RVU25A

58321 billing questions

How do I distinguish this from 58322?

Use 58321 when sperm is deposited in the uterine cavity. Code 58322 describes placement in the cervix.

Can sperm washing be reported separately?

Yes. When sperm washing is performed and documented, report 58323 separately from the insemination service.

Should modifier 50 be appended?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.

What same-day care is included?

The 0-day global period includes same-day preoperative and postoperative care. If multiple procedures are performed in the session, the highest-valued procedure is paid in full and others at 50%.

What documentation supports reporting 58321?

Document that sperm was placed in the uterine cavity, the procedure performed, and relevant details such as the sperm source and any separately performed sperm washing.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 58321PPRRVU2026_Oct_nonQPP.csv, line 6,542 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet