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Donor Bone Graft For Spinal Fusion

South Dakota 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.

Facilitymedian $17,783 · 10th–90th $162$17,7830%50%10th$17,783Professionalmedian $162 · 10th–90th $95$3310%20%10th90th$162$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$17,782.79
Typical High
$17,782.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$114.82
Typical High
$234.42
Avera
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$131.83
Typical High
$229.09
Avera
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$263.03
Typical High
$331.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$812.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$218.78
Typical High
$1,621.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$269.15
Typical High
$269.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$263.03
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$154.88
Typical High
$323.59
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$234.42
Typical High
$275.42