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Structural Donor Bone Graft For Spine Surgery

Utah rates for HCPCS 20931

Adds a piece of donor bone that provides structural support during a spinal operation. It is performed alongside the main spine procedure and charged in addition to it. The primary procedure is charged separately.

Rates data updated July 2026.

Facilitymedian $3,236 · 10th–90th $1,122$4,5710%10%20%10th90th$3,236Professionalmedian $158 · 10th–90th $107$2400%20%10th90th$158$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$1,737.80
Median
$3,235.94
Typical High
$4,570.88
Select Health
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$158.49
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$4,466.84
Typical High
$5,128.61