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Removal Of Bony Growth, Mid-Back Spine

Pennsylvania 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 July 2026.

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

$5,157

Typical total for the visit. In Pennsylvania, July 2026.

Insurers have agreed to pay about $5,157 for this procedure. That total is two separate charges: $891 to the doctor who performs it, and $4,266 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$891$794 to $1,096
Facility feeThe hospital or surgery center$4,266$2,630 to $6,761

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,023 to $8,318Professionalmedian $891 · 10th to 90th $759 to $1,380
$1K$2K$5K$10Kfacility $4,266professional $891

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$4,786.30
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$870.96
Typical High
$1,288.25
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$10,000.00
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$933.25
Typical High
$1,584.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,023.29
Typical High
$1,778.28
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,380.38
Typical High
$1,778.28
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,071.52
Typical High
$1,698.24
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,981.07
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$891.25
Typical High
$3,715.35
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$912.01
Typical High
$1,047.13
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,949.84
Typical High
$3,311.31
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$851.14
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,165.95
Typical High
$21,379.62
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$977.24
Typical High
$1,737.80

Where Pennsylvania sits

The same service costs 9.0 times more in Maine than in West Virginia. 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

Pennsylvania· 27th of 50

$5,157

$891 physician + $4,266 facility

ME $15,863WV $1,763

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.