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Extra Vertebra Treated For A Bone Lesion

Pennsylvania 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?

$2,692

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $2,692 for this service. Most negotiated rates run $1,514 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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,692 · 10th to 90th $589 to $8,318
$200$500$1K$2K$5K$10Kfacility $2,692

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
$660.69
Median
$2,691.53
Typical High
$8,317.64
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,398.83
Typical High
$8,317.64
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$630.96
Typical High
$4,466.84

Where Pennsylvania 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.

Pennsylvania· 19th of 49

$2,692

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.