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Maryland rates for HCPCS 20938

Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tricortical (through separate skin or fascial incision) (List separately in addition to code for primary procedure)

Facilitymedian $646 · 10th–90th $174–$2,2390%20%10th90th$646Professionalmedian $195 · 10th–90th $170–$3240%20%10th90th$195$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $194.98 / $323.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $645.65 / $2,238.72