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Structural Donor Bone Graft For Spine Surgery

Washington 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 $269 · 10th–90th $135$7,9430%10%10th90th$269$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$134.90
Median
$3,162.28
Typical High
$13,803.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$870.96
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$154.88
Typical High
$263.03
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$208.93
Typical High
$218.78
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$645.65
Typical High
$5,754.40