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Local Bone Graft for Spinal Fusion

Washington 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?

$229

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $309 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 10 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$191$138 to $309
FacilityA hospital or hospital-owned outpatient department$309$240 to $4,571

How much rates vary

Facilitymedian $309 · 10th to 90th $158 to $9,772Professionalmedian $191 · 10th to 90th $117 to $525
$100$500$2K$10Kfacility $309professional $191

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$3,467.37
Typical High
$17,782.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$158.49
Typical High
$537.03
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$239.88
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$758.58
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$208.93
Typical High
$371.54
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$269.15
Typical High
$323.59
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$269.15
Typical High
$323.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$50.12
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$239.88
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$169.82
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$251.19
Typical High
$323.59
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$245.47
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$3,162.28
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$194.98
Typical High
$346.74
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18

Where Washington 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.

Washington· 10th of 51

$229

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.