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Lowest Lower-Back Fusion Through A Tailbone Approach

Ohio rates for HCPCS 0195T

Fusion of the lowest disc space in the lower back, reached through a small incision beside the tailbone rather than through the abdomen or through the back muscles. The worn disc is cleared out along that narrow channel and bone graft is packed in so the two vertebrae grow together, with X-ray guidance used throughout and fixation hardware placed to hold the segment still while the fusion heals.

Rates data updated July 2026.

How much does Lowest Lower-Back Fusion Through A Tailbone Approach cost?

$1,660

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $1,660 for this service. Most negotiated rates run $50.12 to $3,090.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,090 · 10th to 90th $2,138 to $3,090Professionalmedian $50 · 10th to 90th $40 to $60
$100$1K$10Kfacility $3,090professional $50

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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,090.30
Typical High
$3,090.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$41,686.94
Median
$41,686.94
Typical High
$63,095.73
CareSource
Setting
Professional
Modifier
Global
Typical Low
$75,857.76
Median
$75,857.76
Typical High
$75,857.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$50.12
Typical High
$60.26

Where Ohio sits

The same service costs 2454.7 times more in Kentucky than in Mississippi. 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.

Ohio· 4th of 14

$1,660

KY $61,660MS $25.12

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.