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Donor Bone Graft For Spinal Fusion

Illinois rates for HCPCS 20930

This adds donor bone material, broken into small pieces, to help promote bone growth during a spinal fusion. It is billed in addition to the main procedure, since it supports the primary surgery rather than standing alone. Using donor bone avoids the need to take a second graft from the patient's own body.

Rates data updated July 2026.

How much does Donor Bone Graft For Spinal Fusion cost?

$200

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $1,288 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 6 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$155$120 to $234
FacilityA hospital or hospital-owned outpatient department$1,288$537 to $3,548

How much rates vary

Facilitymedian $1,288 · 10th to 90th $68 to $7,762Professionalmedian $155 · 10th to 90th $107 to $550
$1$10$100$1K$10Kfacility $1,288professional $155

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
$45.71
Median
$1,318.26
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$549.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$478.63
BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,548.82
Typical High
$2,951.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$199.53
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$165.96
Typical High
$251.19
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$870.96
Typical High
$1,000.00
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$812.83
Typical High
$2,290.87
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$263.03

Where Illinois sits

The same service costs 20.4 times more in California than in Minnesota. 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.

Illinois· 20th of 51

$200

CA $1,660MN $81.28

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.