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Donor Bone Graft For Spinal Fusion

New York 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?

$158

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $129 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 10 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$129$115 to $182
FacilityA hospital or hospital-owned outpatient department$3,548$1,820 to $7,244

How much rates vary

Facilitymedian $3,548 · 10th to 90th $646 to $10,471Professionalmedian $129 · 10th to 90th $105 to $447
$100.0$1.0K$10.0Kfacility $3,548professional $129

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
$741.31
Median
$3,981.07
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$501.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$263.03
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$6,165.95
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$204.17
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$602.56
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$389.05
Typical High
$537.03
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$371.54
Typical High
$512.86
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$154.88
Typical High
$245.47
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$1,288.25
Typical High
$3,981.07
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$501.19
Typical High
$501.19
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$398.11
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$2,511.89
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$169.82
Typical High
$489.78
Univera
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$194.98
Typical High
$309.03
Univera
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$154.88
Typical High
$295.12

Where New York 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.

New York $158 · 35th 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.