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Donor Bone Graft For Spinal Fusion

North Carolina 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?

$209

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $3,548 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 7 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$174$120 to $295
FacilityA hospital or hospital-owned outpatient department$3,548$191 to $5,248

How much rates vary

Facilitymedian $3,548 · 10th to 90th $115 to $9,333Professionalmedian $174 · 10th to 90th $112 to $501
$1.0$10.0$100.0$1.0K$10.0Kfacility $3,548professional $174

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
$114.82
Median
$3,715.35
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$125.89
Typical High
$524.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$251.19
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$158.49
Typical High
$295.12
Medcost
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$138.04
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$891.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$125.89
Typical High
$245.47
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,995.26
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24

Where North Carolina sits

The same service costs 20.4 times more in California than in Minnesota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $209 · 15th of 51
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.