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Extra Vertebra Treated For A Bone Lesion

North Carolina rates for HCPCS 22116

Covers each further vertebra treated beyond the first when part of the body of a vertebra is removed to clear a lesion growing within the bone itself. Working at more than one level allows a problem spanning neighboring vertebrae to be dealt with in a single operation. It is billed in addition to the first vertebra treated.

Rates data updated July 2026.

How much does Extra Vertebra Treated For A Bone Lesion cost?

$363

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $363 for this service. Most negotiated rates run $182 to $1,514.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $380 · 10th to 90th $138 to $5,495Professionalmedian $263 · 10th to 90th $263 to $324
$200$500$1K$2K$5Kfacility $380professional $263

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
$138.04
Median
$1,380.38
Typical High
$7,585.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$602.56
Medcost
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$323.59
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$190.55
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$891.25
Typical High
$2,041.74
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,288.25
Typical High
$1,288.25

Where North Carolina sits

The same service costs 75.9 times more in Indiana 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.

North Carolina· 37th of 49

$363

IN $10,233ND $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.