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New York rates for HCPCS 20936

Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure)

Facilitymedian $3,802 · 10th–90th $646$9,7720%10%10th90th$3,802Professionalmedian $141 · 10th–90th $112$5890%20%10th90th$141$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $3,630.78 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $131.83 / $537.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $134.90 / $275.42
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $13,489.63
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $46,773.51 / $56,234.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $204.17 / $812.83
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $354.81 / $13,489.63
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $588.84 / $851.14
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $165.96 / $263.03
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $1,819.70 / $2,754.23
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $354.81 / $446.68
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $537.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $4,786.30 / $10,232.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $218.78 / $1,412.54
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $208.93 / $758.58
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $173.78 / $389.05