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Donor Bone Graft For Spinal Fusion

Wisconsin 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 $1,380 · 10th–90th $115$17,7830%5%10%10th90th$1,380Professionalmedian $282 · 10th–90th $115$1,0470%10%10th90th$282$1.0$10.0$100.0$1.0K$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
$112.20
Median
$3,548.13
Typical High
$42,657.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$501.19
Typical High
$1,122.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$6,165.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$218.78
Typical High
$575.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$346.74
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$512.86
Typical High
$575.44
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$239.88
Typical High
$10,471.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$263.03
Typical High
$1,778.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$208.93
Typical High
$1,621.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$933.25
Typical High
$2,344.23
Network Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$549.54
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$158.49
Typical High
$263.03
Quartz
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$281.84
Typical High
$416.87
Quartz
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$1,288.25
Quartz
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$562.34
Typical High
$1,698.24
Security Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$363.08
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,513.56
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$489.78