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Endoscopic Repair of Spinal Fluid Leak

Missouri rates for HCPCS 31290

Seals a leak of cerebrospinal fluid, the clear fluid that cushions the brain, where it escapes through a small defect at the base of the skull and drains into the nose. Working through the nostrils with a thin lighted telescope, the surgeon closes the defect with tissue or a graft, avoiding an open incision on the head or face.

Rates data updated July 2026.

How much does Endoscopic Repair of Spinal Fluid Leak cost?

$4,467

Typical facility fee. In Missouri, July 2026.

Insurers have agreed to pay about $4,467 for this service. Most negotiated rates run $2,692 to $7,079.

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.

How much rates vary

Facilitymedian $4,467 · 10th to 90th $1,660 to $12,023
$1K$2K$5K$10K$20Kfacility $4,467

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
$1,258.93
Median
$3,548.13
Typical High
$12,022.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,897.79
Typical High
$12,022.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$13,182.57
Typical High
$17,782.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,691.53
Typical High
$7,943.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,818.38
Typical High
$10,964.78

Where Missouri sits

The same service costs 23.4 times more in Maine than in West Virginia. 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· 19th of 50

$4,467

ME $26,303WV $1,122

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.