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Donor Bone Graft For Spinal Fusion

West Virginia 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?

$123

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $13,183 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 5 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 $135
FacilityA hospital or hospital-owned outpatient department$13,183$204 to $13,183

How much rates vary

Facilitymedian $13,183 · 10th to 90th $115 to $13,183Professionalmedian $123 · 10th to 90th $105 to $162
$50.0$200.0$1.0K$5.0Kfacility $13,183professional $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
$114.82
Median
$13,182.57
Typical High
$13,182.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$123.03
Typical High
$134.90
CareSource
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$151.36
Typical High
$151.36
CareSource
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$134.90
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$204.17
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$173.78
Typical High
$831.76
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$6,918.31
Typical High
$10,232.93
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$977.24
Typical High
$1,047.13
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$131.83
Typical High
$190.55

Where West Virginia 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.

West Virginia $123 · 48th 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.