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Spine Tethering For Curvature, Longer Run

California 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?

$10,233

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $10,233 for this service. The price depends on where it is billed: about $2,344 from a physician practice, and about $12,023 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 9 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$2,138 to $3,548
FacilityA hospital or hospital-owned outpatient department$12,023$8,318 to $16,596

How much rates vary

Facilitymedian $12,023 · 10th to 90th $4,677 to $22,387Professionalmedian $2,344 · 10th to 90th $1,950 to $12,303
$1K$2K$5K$10K$20Kfacility $12,023professional $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
$4,466.84
Median
$9,772.37
Typical High
$21,379.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,290.87
Typical High
$12,302.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$13,489.63
Typical High
$22,387.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,187.76
Typical High
$2,691.53
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$3,090.30
Typical High
$6,606.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$19,054.61
Median
$19,054.61
Typical High
$19,952.62
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$630.96
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$77,624.71
Median
$77,624.71
Typical High
$77,624.71
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$16,595.87
Median
$19,498.45
Typical High
$19,498.45
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,884.03
Typical High
$3,890.45
Providence
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,454.71
Typical High
$11,220.18
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$6,165.95
Typical High
$20,892.96
United
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,511.89
Typical High
$5,128.61

Where California 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.

California· 1st of 51

$10,233

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.