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Structural Bone Block Harvested For Spinal Fusion

New York 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 $4,266 · 10th–90th $331$9,1200%10%10th90th$4,266$50.0$200.0$1.0K$5.0K$20.0K

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
$229.09
Median
$3,090.30
Typical High
$8,128.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$46,773.51
Typical High
$56,234.13
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$251.19
Typical High
$891.25
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$4,677.35
Typical High
$10,471.29
Univera
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$302.00
Typical High
$912.01