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Spine Tethering For Curvature, Longer Run

Missouri rates for HCPCS 0657T

An operation to straighten a curved spine by fixing anchors to the front of the spine bones and running a flexible cord between them. Tightening the cord pulls the curve straighter and lets it keep correcting while the spine is still growing, without locking the bones solid. This version covers a longer run of spine bones.

Rates data updated July 2026.

How much does Spine Tethering For Curvature, Longer Run cost?

$2,512

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $2,512 for this service. The price depends on where it is billed: about $2,344 from a physician practice, and about $4,074 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,344$2,089 to $2,754
FacilityA hospital or hospital-owned outpatient department$4,074$2,512 to $5,623

How much rates vary

Facilitymedian $4,074 · 10th to 90th $1,778 to $8,511Professionalmedian $2,344 · 10th to 90th $1,413 to $4,365
$2K$5K$10K$20Kfacility $4,074professional $2,344

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$4,265.80
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,187.76
Typical High
$4,897.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,238.72
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,754.23
Typical High
$10,964.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,090.30
Typical High
$16,982.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$3,467.37
Typical High
$16,982.44
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,818.38
Typical High
$4,365.16

Where Missouri sits

The same service costs 5.0 times more in California than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Missouri· 22nd of 51

$2,512

CA $10,233AL $2,042

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.