$86.52–$106.07
Choose 58322 for placement in the uterine cavity; choose 58321 when sperm is deposited in the cervix.
On this page
CMS RVU26D · Effective 2026-10-01
58322 Artificial insemination Medicare reimbursement rates in California
Reports therapeutic insemination by placing prepared sperm into the uterine cavity, rather than depositing it in the cervix. Compare 58322 office and facility rates across CMS payment localities in California.
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.
What does Medicare pay for 58322 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
$95.39–$116.28
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $20.89 per service.
Facility setting
$48.17–$54.15
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $5.98 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 58322 pays more and less in California
29 payment localities
$95.39 to $116.28
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 California, from the same CMS release.
$14.78–$17.54
58323 reports sperm washing, not the insemination procedure itself. Report 58322 for intrauterine placement.
89260
No office rateSperm isolation simple
89260 describes laboratory sperm isolation by a simple method; 58322 describes the clinician's placement of sperm into the uterus.
Compare 58322 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office $95.93 | Facility $48.70 |
| Chico | Office $95.39 | Facility $48.17 |
| El Centro | Office $95.42 | Facility $48.20 |
| Fresno | Office $95.39 | Facility $48.17 |
| Hanford-Corcoran | Office $95.39 | Facility $48.17 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $101.48 | Facility $50.51 |
| Madera | Office $95.39 | Facility $48.17 |
| Merced | Office $95.39 | Facility $48.17 |
| Modesto | Office $95.39 | Facility $48.17 |
| Napa | Office $108.13 | Facility $51.34 |
| Oxnard-Thousand Oaks-Ventura | Office $100.70 | Facility $49.77 |
| Redding | Office $95.39 | Facility $48.17 |
| Rest Of California | Office $95.39 | Facility $48.17 |
| Riverside-San Bernardino-Ontario | Office $97.44 | Facility $50.22 |
| Sacramento-Roseville-Folsom | Office $99.47 | Facility $49.36 |
| Salinas | Office $99.09 | Facility $49.15 |
| San Diego-Chula Vista-Carlsbad | Office $100.97 | Facility $49.44 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $113.63 | Facility $52.88 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $113.42 | Facility $52.66 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $116.28 | Facility $54.15 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $115.40 | Facility $53.27 |
| San Luis Obispo-Paso Robles | Office $97.57 | Facility $48.50 |
| Santa Cruz-Watsonville | Office $101.58 | Facility $49.22 |
| Santa Maria-Santa Barbara | Office $99.34 | Facility $49.10 |
| Santa Rosa-Petaluma | Office $102.56 | Facility $49.65 |
| Stockton | Office $95.39 | Facility $48.17 |
| Vallejo | Office $107.82 | Facility $51.03 |
| Visalia | Office $95.39 | Facility $48.17 |
| Yuba City | Office $95.39 | Facility $48.17 |
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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.
6,54058300,,Insert intrauterine device,N,+,0.98,2.07,,0.22,,0.11,3.16,1.31,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54158301,,Remove intrauterine device,A,,1.24,1.89,,0.28,,0.21,3.34,1.73,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54258321,,Artificial insemination,A,,0.90,1.45,,0.19,,0.16,2.51,1.25,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54358322,,Artificial insemination,A,,1.07,1.52,,0.23,,0.19,2.78,1.49,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54458323,,Sperm washing,A,,0.22,0.18,,0.05,,0.04,0.44,0.31,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54558340,,Catheter for hysterography,A,,0.86,6.09,,0.56,,0.14,7.09,1.56,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54658345,,Reopen fallopian tube,A,,4.58,2.25,NA,2.25,,0.81,7.64,7.64,0,010,0.10,0.80,0.10,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00