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Removal Of Bony Growth, Mid-Back Spine

Hawaii rates for HCPCS 22101

This service surgically removes part of a bony structure of a vertebra in the mid-back (thoracic spine) - such as the bony arch or a joint surface - to treat a growth or lesion confined to that structure. The main body of the vertebra is left in place. It is used to treat a bone abnormality localized to a specific vertebra rather than a widespread spinal condition.

Rates data updated October 2026.

How much does Removal Of Bony Growth, Mid-Back Spine cost?

$4,924

Typical total for the visit. In Hawaii, October 2026.

Insurers have agreed to pay about $4,924 for this procedure. That total is two separate charges: $1,122 to the doctor who performs it, and $3,802 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,122$1,047 to $1,230
Facility feeThe hospital or surgery center$3,802$3,090 to $4,467

How much rates vary

Facilitymedian $3,802 · 10th to 90th $1,778 to $4,467Professionalmedian $1,122 · 10th to 90th $30 to $1,318
$50$100$200$500$1K$2K$5Kfacility $3,802professional $1,122

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,778.28
Median
$4,466.84
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$851.14
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
HMSA
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,258.93
Typical High
$1,318.26
HMSA
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$562.34
Median
$630.96
Typical High
$660.69
HMSA
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$190.55
Median
$218.78
Typical High
$229.09
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,047.13
Typical High
$1,445.44
United
Setting
Facility
Modifier
None
Typical Low
$3,090.30
Median
$3,801.89
Typical High
$7,079.46
United
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,122.02
Typical High
$1,122.02
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$144.54
Typical High
$1,148.15

Where Hawaii sits

The same service costs 5.1 times more in Oklahoma than in Kentucky. 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.

Physician feeFacility fee

Hawaii· 33rd of 51

$4,924

$1,122 physician + $3,802 facility

OK $11,738KY $2,311

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.