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Spine Tethering For Curvature, Longer Run

North Dakota 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?

$2,089

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $2,089 for this service. The price depends on where it is billed: about $2,089 from a physician practice, and about $2,089 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 3 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$2,089$1,514 to $2,188
FacilityA hospital or hospital-owned outpatient department$2,089$1,514 to $8,511

How much rates vary

Facilitymedian $2,089 · 10th to 90th $1,514 to $9,550Professionalmedian $2,089 · 10th to 90th $1,514 to $2,692
$2K$5K$10Kfacility $2,089professional $2,089

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
$1,513.56
Median
$2,089.30
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,089.30
Typical High
$2,187.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,818.38
Typical High
$3,890.45
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$4,073.80
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$35,481.34
United
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,951.21
Typical High
$4,466.84

Where North Dakota 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.

North Dakota· 48th of 51

$2,089

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.