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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.

How much does Donor Bone Graft For Spinal Fusion cost?

$224

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $17,783 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$115 to $263
FacilityA hospital or hospital-owned outpatient department$17,783$224 to $17,783

How much rates vary

Facilitymedian $17,783 · 10th to 90th $162 to $17,783Professionalmedian $162 · 10th to 90th $95 to $331
$100$200$500$1K$2K$5K$10Kfacility $17,783professional $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
$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

Where South Dakota 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.

South Dakota· 13th of 51

$224

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.