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CMS RVU26D · Effective 2026-10-01

58322 in Modesto

Office / nonfacility

$95.39

Base rate per service

Facility setting

$48.17

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.

Reproductive medicine

About 58322: Intrauterine artificial insemination

Reports therapeutic insemination by placing prepared sperm into the uterine cavity, rather than depositing it in the cervix.

This service places prepared sperm into the uterine cavity through a catheter as part of infertility care. A physician or other qualified clinician typically performs the insemination in an office or fertility clinic; sperm preparation may be performed separately by laboratory staff. The key distinction from intracervical insemination is the destination of the sperm, not simply the use of a catheter or the infertility diagnosis.

Report the service when documentation supports intrauterine placement, including the clinical encounter and the insemination performed. Sperm washing is a distinct service and may be reported separately when performed and documented. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery payment are not permitted.

CMS billing rules for 58322

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 RVU1.07 · 38%
  • Practice expense (office) RVU1.52 · 55%
  • Malpractice RVU0.19 · 7%

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.

58322 compared with similar codes

Office rates for Modesto, from the same CMS release.

58321

Insemination

Intrauterine placement

$86.52

Choose 58322 for placement in the uterine cavity; choose 58321 when sperm is deposited in the cervix.

58323

Sperm washing

For artificial insemination

$14.78

58323 reports sperm washing, not the insemination procedure itself. Report 58322 for intrauterine placement.

89260

Sperm isolation simple

No office rate

89260 describes laboratory sperm isolation by a simple method; 58322 describes the clinician's placement of sperm into the uterus.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 58322 is $95.93—$0.54 higher than the $95.39 rate in Modesto. Both use the same code, release and participation basis.

58322 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $95.39

  2. Bakersfield

    $95.93

    $0.54 higher than Modesto

  3. Chico

    $95.39

    The same base rate than Modesto

  4. El Centro

    $95.42

    $0.03 higher than Modesto

  5. Fresno

    $95.39

    The same base rate than Modesto

  6. Hanford-Corcoran

    $95.39

    The same base rate than Modesto

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $101.48

    $6.09 higher than Modesto

Other payment areas listed in California 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, 58322 ranges from $82.62 in Arkansas to $116.28 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

  • Madera

    California · 58322

    Office

    $95.39

    Facility

    $48.17

    The same base rate than Modesto for the office setting.

  • Merced

    California · 58322

    Office

    $95.39

    Facility

    $48.17

    The same base rate than Modesto for the office setting.

  • Napa

    California · 58322

    Office

    $108.13

    Facility

    $51.34

    $12.74 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 58322

    Office

    $100.70

    Facility

    $49.77

    $5.31 higher than Modesto for the office setting.

  • Redding

    California · 58322

    Office

    $95.39

    Facility

    $48.17

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 58322

    Office

    $95.39

    Facility

    $48.17

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 58322

    Office

    $97.44

    Facility

    $50.22

    $2.05 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 58322

    Office

    $99.47

    Facility

    $49.36

    $4.08 higher than Modesto for the office setting.

  • Salinas

    California · 58322

    Office

    $99.09

    Facility

    $49.15

    $3.70 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 58322

    Office

    $100.97

    Facility

    $49.44

    $5.58 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 58322

    Office

    $113.63

    Facility

    $52.88

    $18.24 higher than Modesto for the office setting.

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

    California · 58322

    Office

    $113.42

    Facility

    $52.66

    $18.03 higher than Modesto for the office setting.

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

    California · 58322

    Office

    $116.28

    Facility

    $54.15

    $20.89 higher than Modesto for the office setting.

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

    California · 58322

    Office

    $115.40

    Facility

    $53.27

    $20.01 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 58322

    Office

    $97.57

    Facility

    $48.50

    $2.18 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 58322

    Office

    $101.58

    Facility

    $49.22

    $6.19 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 58322

    Office

    $99.34

    Facility

    $49.10

    $3.95 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 58322

    Office

    $102.56

    Facility

    $49.65

    $7.17 higher than Modesto for the office setting.

  • Stockton

    California · 58322

    Office

    $95.39

    Facility

    $48.17

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 58322

    Office

    $107.82

    Facility

    $51.03

    $12.43 higher than Modesto for the office setting.

  • Visalia

    California · 58322

    Office

    $95.39

    Facility

    $48.17

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 58322

    Office

    $95.39

    Facility

    $48.17

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 58322

    Office

    $104.54

    Facility

    $53.78

    $9.15 higher than Modesto for the office setting.

  • Miami

    Florida · 58322

    Office

    $104.64

    Facility

    $59.79

    $9.25 higher than Modesto for the office setting.

  • Chicago

    Illinois · 58322

    Office

    $101.58

    Facility

    $58.27

    $6.19 higher than Modesto for the office setting.

  • Manhattan

    New York · 58322

    Office

    $107.09

    Facility

    $57.02

    $11.70 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 58322

    Office

    $111.17

    Facility

    $65.29

    $15.78 higher than Modesto for the office setting.

  • Alabama

    Alabama · 58322

    Office

    $83.75

    Facility

    $46.05

    $11.64 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 58322

    Office

    $82.62

    Facility

    $45.61

    $12.77 lower than Modesto for the office setting.

  • Arizona

    Arizona · 58322

    Office

    $90.37

    Facility

    $48.62

    $5.02 lower than Modesto for the office setting.

  • Colorado

    Colorado · 58322

    Office

    $95.14

    Facility

    $49.30

    $0.25 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 58322

    Office

    $98.81

    Facility

    $52.41

    $3.42 higher than Modesto for the office setting.

  • Delaware

    Delaware · 58322

    Office

    $91.78

    Facility

    $49.21

    $3.61 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 58322

    Office

    $98.64

    Facility

    $54.99

    $3.25 higher than Modesto for the office setting.

  • Rest Of Florida

    Florida · 58322

    Office

    $93.81

    Facility

    $52.62

    $1.58 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 58322

    Office

    $95.05

    Facility

    $51.27

    $0.34 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 58322

    Office

    $88.59

    Facility

    $50.16

    $6.80 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 58322

    Office

    $97.14

    Facility

    $48.15

    $1.75 higher than Modesto for the office setting.

  • Iowa

    Iowa · 58322

    Office

    $84.71

    Facility

    $45.29

    $10.68 lower than Modesto for the office setting.

  • Idaho

    Idaho · 58322

    Office

    $85.45

    Facility

    $45.81

    $9.94 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 58322

    Office

    $95.23

    Facility

    $55.59

    $0.16 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 58322

    Office

    $92.01

    Facility

    $52.67

    $3.38 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 58322

    Office

    $99.37

    Facility

    $55.12

    $3.98 higher than Modesto for the office setting.

  • Indiana

    Indiana · 58322

    Office

    $85.89

    Facility

    $45.94

    $9.50 lower than Modesto for the office setting.

  • Kansas

    Kansas · 58322

    Office

    $84.83

    Facility

    $45.88

    $10.56 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 58322

    Office

    $86.68

    Facility

    $48.38

    $8.71 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 58322

    Office

    $90.72

    Facility

    $50.18

    $4.67 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 58322

    Office

    $86.75

    Facility

    $48.62

    $8.64 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 58322

    Office

    $103.47

    Facility

    $52.02

    $8.08 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 58322

    Office

    $94.83

    Facility

    $49.46

    $0.56 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 58322

    Office

    $98.64

    Facility

    $52.40

    $3.25 higher than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 58322

    Office

    $93.30

    Facility

    $49.70

    $2.09 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 58322

    Office

    $86.39

    Facility

    $46.75

    $9.00 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 58322

    Office

    $90.06

    Facility

    $47.36

    $5.33 lower than Modesto for the office setting.

  • Detroit

    Michigan · 58322

    Office

    $95.43

    Facility

    $53.85

    $0.04 higher than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 58322

    Office

    $89.26

    Facility

    $49.92

    $6.13 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 58322

    Office

    $89.86

    Facility

    $45.52

    $5.53 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 58322

    Office

    $89.61

    Facility

    $49.15

    $5.78 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 58322

    Office

    $90.43

    Facility

    $49.41

    $4.96 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 58322

    Office

    $85.68

    Facility

    $48.54

    $9.71 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 58322

    Office

    $84.14

    Facility

    $47.04

    $11.25 lower than Modesto for the office setting.

  • Montana**

    Montana · 58322

    Office

    $92.84

    Facility

    $49.75

    $2.55 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 58322

    Office

    $87.16

    Facility

    $46.96

    $8.23 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 58322

    Office

    $89.08

    Facility

    $46.00

    $6.31 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 58322

    Office

    $85.00

    Facility

    $45.23

    $10.39 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 58322

    Office

    $94.14

    Facility

    $49.29

    $1.25 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 58322

    Office

    $103.66

    Facility

    $53.68

    $8.27 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 58322

    Office

    $99.57

    Facility

    $52.52

    $4.18 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 58322

    Office

    $89.92

    Facility

    $50.41

    $5.47 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 58322

    Office

    $91.85

    Facility

    $48.72

    $3.54 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 58322

    Office

    $110.18

    Facility

    $58.95

    $14.79 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 58322

    Office

    $100.62

    Facility

    $53.44

    $5.23 higher than Modesto for the office setting.

  • Queens

    New York · 58322

    Office

    $107.19

    Facility

    $56.26

    $11.80 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 58322

    Office

    $88.43

    Facility

    $47.50

    $6.96 lower than Modesto for the office setting.

  • Ohio

    Ohio · 58322

    Office

    $88.49

    Facility

    $49.15

    $6.90 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 58322

    Office

    $86.01

    Facility

    $47.53

    $9.38 lower than Modesto for the office setting.

  • Portland

    Oregon · 58322

    Office

    $97.44

    Facility

    $49.57

    $2.05 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 58322

    Office

    $90.77

    Facility

    $47.85

    $4.62 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 58322

    Office

    $96.80

    Facility

    $51.95

    $1.41 higher than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 58322

    Office

    $88.34

    Facility

    $48.79

    $7.05 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 58322

    Office

    $93.32

    Facility

    $49.76

    $2.07 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 58322

    Office

    $94.52

    Facility

    $50.01

    $0.87 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 58322

    Office

    $88.04

    Facility

    $48.23

    $7.35 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 58322

    Office

    $88.64

    Facility

    $45.55

    $6.75 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 58322

    Office

    $85.30

    Facility

    $46.13

    $10.09 lower than Modesto for the office setting.

  • Austin

    Texas · 58322

    Office

    $95.15

    Facility

    $49.56

    $0.24 lower than Modesto for the office setting.

  • Beaumont

    Texas · 58322

    Office

    $87.83

    Facility

    $48.63

    $7.56 lower than Modesto for the office setting.

  • Brazoria

    Texas · 58322

    Office

    $91.29

    Facility

    $48.59

    $4.10 lower than Modesto for the office setting.

  • Dallas

    Texas · 58322

    Office

    $92.07

    Facility

    $49.16

    $3.32 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 58322

    Office

    $91.65

    Facility

    $49.16

    $3.74 lower than Modesto for the office setting.

  • Galveston

    Texas · 58322

    Office

    $91.69

    Facility

    $48.91

    $3.70 lower than Modesto for the office setting.

  • Houston

    Texas · 58322

    Office

    $95.17

    Facility

    $52.39

    $0.22 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 58322

    Office

    $89.65

    Facility

    $48.76

    $5.74 lower than Modesto for the office setting.

  • Utah

    Utah · 58322

    Office

    $89.16

    Facility

    $48.66

    $6.23 lower than Modesto for the office setting.

  • Virginia

    Virginia · 58322

    Office

    $90.13

    Facility

    $47.77

    $5.26 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 58322

    Office

    $93.32

    Facility

    $49.76

    $2.07 lower than Modesto for the office setting.

  • Vermont

    Vermont · 58322

    Office

    $89.21

    Facility

    $46.56

    $6.18 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 58322

    Office

    $94.49

    Facility

    $49.12

    $0.90 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 58322

    Office

    $105.00

    Facility

    $52.14

    $9.61 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 58322

    Office

    $86.33

    Facility

    $45.05

    $9.06 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 58322

    Office

    $88.94

    Facility

    $51.50

    $6.45 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 58322

    Office

    $91.20

    Facility

    $48.12

    $4.19 lower than Modesto for the office setting.

See how rates vary across the country

58322 · 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.

$82.62

$111.17

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$111.171
AL$83.751
AR$82.621
AZ$90.371
CA$95.39–$116.2829
CO$95.141
CT$98.811
DC$104.541
DE$91.781
FL$93.81–$104.643
GA$88.59–$95.052
GU$97.141
HI$97.141
IA$84.711
ID$85.451
IL$92.01–$101.584
IN$85.891
KS$84.831
KY$86.681
LA$86.75–$90.722
MA$94.83–$103.472
MD$93.30–$104.543
ME$86.39–$90.062
MI$89.26–$95.432
MN$89.861
MO$85.68–$90.433
MS$84.141
MT$92.841
NC$87.161
ND$89.081
NE$85.001
NH$94.141
NJ$99.57–$103.662
NM$89.921
NV$91.851
NY$88.43–$110.185
OH$88.491
OK$86.011
OR$90.77–$97.442
PA$88.34–$96.802
PR$93.321
RI$94.521
SC$88.041
SD$88.641
TN$85.301
TX$87.83–$95.178
UT$89.161
VA$90.13–$104.542
VI$93.321
VT$89.211
WA$94.49–$105.002
WI$86.331
WV$88.941
WY$91.201

Explore 58322 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 cities and communities in California, 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 California →

Why are the office and facility amounts different?

For 58322 in Modesto, the physician’s office rate is $95.39 and the facility-setting rate is $48.17: a difference of $47.22.

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 58322 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$104.93

$95.39 × 110% = $104.93

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 58322 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

6,543

Code
58322
Physician work
1.07
Practice expense
1.52
Malpractice
0.19

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 58322 in Modesto
ComponentRVULocality factorAdjusted
Physician work1.07× 1.0171.0882
Practice expense1.52× 1.0961.6659
Malpractice0.19× 0.5360.1018
Total RVUs2.8559
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$95.39

Open 58322 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.071.017
Practice expense1.521.096
Malpractice0.190.536

(1.07 × 1.017 + 1.52 × 1.096 + 0.19 × 0.536) × $33.4009 = $95.39

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.071.017
Practice expense0.231.096
Malpractice0.190.536

(1.07 × 1.017 + 0.23 × 1.096 + 0.19 × 0.536) × $33.4009 = $48.17

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

58322 · Office / nonfacility

$95.39

Effective 2026-10-01

The base rate is $4.43 higher than on 2025-10-01, moving from $90.96 to $95.39 (4.9%).

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

    $90.96changed to$95.39

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.10 changed to 1.07
    • Practice expense RVU 1.46 changed to 1.52
    • Malpractice RVU 0.18 changed to 0.19
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $90.96

    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$95.39$48.17RVU26D
2026-07-01$95.39$48.17RVU26C
2026-04-01$95.39$48.17RVU26B
2026-01-01$95.39$48.17RVU26A
2025-10-01$90.96$54.54RVU25D
2025-07-01$90.96$54.54RVU25C
2025-04-01$90.96$54.54RVU25B
2025-01-01$90.96$54.54RVU25A

58322 billing questions

How is this code distinguished from 58321?

Use 58322 when sperm is placed in the uterine cavity. Code 58321 describes insemination into the cervix.

Can sperm washing be reported separately?

Yes. Code 58323 represents sperm washing, a distinct service from placing sperm in the uterus; document the preparation when reporting it.

What documentation supports 58322?

Document the infertility treatment encounter and that prepared sperm was deposited into the uterine cavity. The route of placement distinguishes this service from intracervical insemination.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure. The code has no postprocedure global days beyond that date.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, while other procedures in the same session are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment requires documented medical necessity.

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 58322PPRRVU2026_Oct_nonQPP.csv, line 6,543 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet