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Open Removal of Uterine Fibroids, Larger Case

Missouri rates for HCPCS 58146

Surgery through an incision in the lower abdomen to remove fibroids, non-cancerous growths, from the wall of the uterus while leaving the uterus itself in place. This covers the heavier version of the operation, where many fibroids or a large bulk of fibroid tissue has to be taken out.

Rates data updated July 2026.

How much does Open Removal of Uterine Fibroids, Larger Case cost?

$5,646

Typical total for the visit. In Missouri, July 2026.

Insurers have agreed to pay about $5,646 for this procedure. That total is two separate charges: $1,380 to the doctor who performs it, and $4,266 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,380$1,096 to $1,820
Facility feeThe hospital or surgery center$4,266$2,512 to $5,888

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,698 to $8,913Professionalmedian $1,380 · 10th to 90th $1,023 to $3,236
$100.0$500.0$2.0K$10.0Kfacility $4,266professional $1,380

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
$1,096.48
Median
$3,388.44
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,148.15
Typical High
$4,466.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,786.30
Typical High
$10,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,380.38
Typical High
$2,137.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,148.15
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$1,548.82
Typical High
$2,454.71
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$1,819.70
Typical High
$6,918.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,659.59
Typical High
$8,511.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,090.30
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,380.38
Typical High
$2,238.72

Where Missouri sits

The same service costs 11.0 times more in Maine than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeMissouri $5,646 · 27th of 50
ME $24,761WV $2,245

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.