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Local Bone Graft for Spinal Fusion

South Dakota rates for HCPCS 20936

An add-on service in which bone tissue is collected from the same surgical opening already being used for a spinal fusion procedure and used to help the vertebrae grow together. Because it is taken through the existing incision, no separate cut is needed to obtain the graft material. It is provided in addition to the main spinal fusion procedure, not as a stand-alone surgery.

Rates data updated July 2026.

How much does Local Bone Graft for Spinal Fusion cost?

$182

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $234 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$170$123 to $275
FacilityA hospital or hospital-owned outpatient department$234$186 to $2,291

How much rates vary

Facilitymedian $234 · 10th to 90th $141 to $4,365Professionalmedian $170 · 10th to 90th $102 to $347
$100$200$500$1K$2K$5K$10Kfacility $234professional $170

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$123.03
Typical High
$251.19
Avera
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$141.25
Typical High
$245.47
Avera
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$275.42
Typical High
$346.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$204.17
Typical High
$3,162.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$229.09
Typical High
$1,621.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$288.40
Typical High
$288.40
Midlands
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$281.84
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$162.18
Typical High
$346.74
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$251.19
Typical High
$295.12

Where South Dakota sits

The same service costs 25.1 times more in California than in Minnesota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 28th of 51

$182

CA $2,188MN $87.10

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.