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Structural Bone Block Harvested For Spinal Fusion

Virginia 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.

How much does Structural Bone Block Harvested For Spinal Fusion cost?

$813

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $813 for this service. Most negotiated rates run $240 to $5,370.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $813 · 10th to 90th $191 to $10,965Professionalmedian $229 · 10th to 90th $155 to $347
$200$500$1K$2K$5K$10K$20Kfacility $813professional $229

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$3,235.94
Typical High
$14,125.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$194.98
Typical High
$229.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$346.74
Typical High
$426.58
Medcost
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$239.88
Typical High
$380.19
Sentara
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$239.88
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$8,709.64
Typical High
$17,782.79

Where Virginia sits

The same service costs 39.8 times more in West Virginia than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 36th of 49

$813

WV $6,918MD $174

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.