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Nonsurgical Care Of A Spinal Process Fracture

Wisconsin rates for HCPCS 22305

Treatment without surgery of a break in one of the bony projections that stick out from a spinal bone — the knobs you can feel running down the middle of the back, or the wings at the sides. It is managed with rest, pain control, and limits on activity while the bone heals.

Rates data updated July 2026.

How much does Nonsurgical Care Of A Spinal Process Fracture cost?

$339

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $282 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$372$324 to $676
FacilityA hospital or hospital-owned outpatient department$282$219 to $537

How much rates vary

Facilitymedian $282 · 10th to 90th $186 to $661Professionalmedian $372 · 10th to 90th $295 to $1,318
$200$500$1K$2Kfacility $282professional $372

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$549.54
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$331.13
Typical High
$446.68
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$234.42
Typical High
$371.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$234.42
Typical High
$371.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,318.26
Typical High
$1,318.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$234.42
Typical High
$371.54
Quartz
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,995.26
Typical High
$1,995.26
Quartz
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$1,318.26
Typical High
$1,318.26

Where Wisconsin sits

The same service costs 70.8 times more in California than in Washington. 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.

Wisconsin· 20th of 39

$339

CA $4,266WA $60.26

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.