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Removing Part of a Spinal Bone, Extra Level

Pennsylvania rates for HCPCS 22103

Removes part of the back portion of a further spinal bone - the ridge you can feel along the midline, the bony arch, or a joint surface - because of an abnormality within the bone itself. Taking out the affected part treats the problem and relieves pressure on nearby structures. It is billed in addition to the main procedure for each extra level treated.

Rates data updated July 2026.

How much does Removing Part of a Spinal Bone, Extra Level cost?

$4,074

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $4,074 for this service. Most negotiated rates run $1,778 to $6,166.

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 $4,074 · 10th to 90th $776 to $8,318
$200$500$1K$2K$5K$10Kfacility $4,074

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
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$10,000.00
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,981.07
Typical High
$8,317.64
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,949.84
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$630.96
Typical High
$4,466.84

Where Pennsylvania sits

The same service costs 67.6 times more in South Carolina than in North Dakota. 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.

Pennsylvania· 14th of 49

$4,074

SC $9,120ND $135

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.