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Structural Bone Block Harvested For Spinal Fusion

Pennsylvania 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 $2,818 · 10th–90th $661$8,3180%5%10%10th90th$2,818$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
$660.69
Median
$2,691.53
Typical High
$8,317.64
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
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
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,691.53
Typical High
$8,317.64
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$204.17
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,388.44
Typical High
$6,309.57