go back

Donor Bone Graft For Spinal Fusion

Massachusetts 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?

$195

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $2,239 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 8 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$162$129 to $295
FacilityA hospital or hospital-owned outpatient department$2,239$1,318 to $3,236

How much rates vary

Facilitymedian $2,239 · 10th to 90th $501 to $4,169Professionalmedian $162 · 10th to 90th $112 to $468
$100$500$2K$10K$50Kfacility $2,239professional $162

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
$1,000.00
Median
$2,238.72
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$549.54
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$1,288.25
Typical High
$2,818.38
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$13,489.63
Typical High
$13,489.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$338.84
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$186.21
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$186.21
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,041.74
Typical High
$3,467.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$213.80
Typical High
$316.23
Health New England
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,890.45
Typical High
$7,762.47
Health New England
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$1,949.84
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$1,288.25
Typical High
$2,818.38
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,862.09
Typical High
$2,818.38
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$190.55
Typical High
$354.81

Where Massachusetts 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.

Massachusetts· 21st of 51

$195

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.