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Structural Bone Block Harvested For Spinal Fusion

Montana 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 $316 · 10th–90th $240$3890%20%40%10th90th$316$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$0.95
Median
$0.95
Typical High
$0.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$316.23
Typical High
$338.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$275.42
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93