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Structural Donor Bone Graft For Spine Surgery

Virginia 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 $977 · 10th–90th $126$7,9430%5%10th90th$977Professionalmedian $135 · 10th–90th $91$2140%10%20%10th90th$135$100.0$500.0$2.0K$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$2,041.74
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$117.49
Typical High
$138.04
Medcost
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$213.80
Typical High
$257.04
Medcost
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$223.87
Sentara
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$144.54
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$2,454.71