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Structural Bone Block Harvested For Spinal Fusion

Kentucky rates for HCPCS 20938

Covers taking a solid block of the patient's own bone through a separate incision, usually from the hip, and shaping it to sit between the vertebrae as a load-bearing support while the spine fuses. A solid block holds the space open, which loose chips cannot do. It is billed in addition to the spinal operation itself.

Rates data updated July 2026.

Facilitymedian $1,778 · 10th–90th $186$10,7150%5%10%10th90th$1,778$50.0$200.0$1.0K$5.0K

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
$194.98
Median
$851.14
Typical High
$8,511.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$10,715.19
Typical High
$11,220.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$229.09
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$288.40
Typical High
$288.40
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$4,168.69
Typical High
$8,511.38