Orthopedic/Musculoskeletal

How Much Does Fibromyalgia Treatment Cost?

Fibromyalgia is a chronic condition characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory, and mood issues. It amplifies painful sensations by affecting the way the brain processes pain signals. Treatment focuses on symptom management with a multidisciplinary approach.

Mild
$1.5K — $4.0K
Moderate
$5.0K — $12K
Severe
$15K — $40K
Estimated Total Procedure-Based Cost
$53 — $88
Based on common procedures at commercial insurance rates (1.5x-2.5x Medicare)

Treatment Cost Breakdown

Diagnosis & Acute Treatment

4 procedures
$53 — $88
Comprehensive Metabolic Panel (CMP)
Blood test, comprehensive group of blood chemicals
CPT 80053
$16 — $26
Medicare: $11
Thyroid Stimulating Hormone (TSH) Test
Blood test, thyroid stimulating hormone (TSH)
CPT 84443
$25 — $42
Medicare: $17
Red Blood Cell Sedimentation Rate, to Detect Inflammation, Automated
Red blood cell sedimentation rate, to detect inflammation, automated
CPT 85652
$4 — $7
Medicare: $3
Measurement C-reactive Protein for Detection of Infection or Inflammation
Measurement C-reactive protein for detection of infection or inflammation
CPT 86140
$8 — $13
Medicare: $5

Questions to Ask Your Doctor About Costs

Before your appointment, ask these questions to avoid surprise bills

  • "What is the total estimated cost for my Fibromyalgia treatment, including all follow-up visits?"
  • "Are there less expensive treatment alternatives that would be equally effective?"
  • "Can any of these procedures be done in an outpatient or office setting instead of a hospital?"
  • "Will all the providers involved in my care (anesthesiologist, radiologist, etc.) be in-network?"
  • "Do you offer payment plans or financial assistance for patients?"
  • "What will my insurance cover, and what is my estimated out-of-pocket responsibility?"

Frequently Asked Questions

How much does Fibromyalgia treatment cost?

Treatment for Fibromyalgia typically costs $5.0K — $12K depending on severity and location.

Does insurance cover Fibromyalgia treatment?

Most health insurance plans cover medically necessary treatment for Fibromyalgia. Your out-of-pocket cost depends on your deductible, copay, and whether you use in-network providers.

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