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Washington rates for HCPCS 20931

Allograft, structural, for spine surgery only (List separately in addition to code for primary procedure)

Facilitymedian $309 · 10th–90th $135–$9,7720%5%10th90th$309$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $3,548.13 / $16,218.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $870.96
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $162.18 / $269.15
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $208.93 / $218.78
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $151.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $645.65 / $5,754.40