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Donor Bone Graft For Spinal Fusion

Pennsylvania 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?

$162

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $1,995 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 11 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$123$112 to $166
FacilityA hospital or hospital-owned outpatient department$1,995$933 to $4,786

How much rates vary

Facilitymedian $1,995 · 10th to 90th $135 to $8,318Professionalmedian $123 · 10th to 90th $105 to $468
$100$1K$10Kfacility $1,995professional $123

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
$134.90
Median
$1,995.26
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$123.03
Typical High
$467.74
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$16,218.10
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,348.96
Typical High
$3,162.28
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$95.50
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$141.25
Typical High
$239.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$371.54
Typical High
$489.78
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$3,235.94
Typical High
$5,888.44
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$251.19
Independence Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$20,892.96
Independence Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$3,235.94
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,819.70
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$123.03
Typical High
$1,230.27
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,737.80
Typical High
$3,162.28
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$630.96
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$138.04
Typical High
$239.88

Where Pennsylvania 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.

Pennsylvania· 34th of 51

$162

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.