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Repair Of A Broken Peg Bone At The Top Of The Neck

Montana rates for HCPCS 22318

Repairs a break in the peg-shaped upright of the second bone in the neck, the post that the head pivots around, working through an incision at the front of the neck. A screw or similar hardware is placed to hold the broken piece against the rest of the bone while it heals. Fixing it directly can spare months in a rigid brace or halo.

Rates data updated October 2026.

How much does Repair Of A Broken Peg Bone At The Top Of The Neck cost?

$5,449

Typical total for the visit. In Montana, October 2026.

Insurers have agreed to pay about $5,449 for this procedure. That total is two separate charges: $2,630 to the doctor who performs it, and $2,818 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,630$1,778 to $2,630
Facility feeThe hospital or surgery center$2,818$2,754 to $3,162

How much rates vary

Facilitymedian $2,818 · 10th to 90th $2,344 to $9,120Professionalmedian $2,630 · 10th to 90th $85 to $2,818
$100$500$2K$10Kfacility $2,818professional $2,630

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,778.28
Typical High
$3,235.94
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,630.27
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,630.27
Median
$10,964.78
Typical High
$30,902.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$2,344.23
Median
$2,754.23
Typical High
$3,162.28
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$2,754.23
Typical High
$2,951.21
Providence
Setting
Facility
Modifier
None
Typical Low
$2,630.27
Median
$10,964.78
Typical High
$30,902.95
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$2,344.23
Typical High
$2,630.27
United
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$3,311.31
Typical High
$9,120.11
United
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$2,754.23
Typical High
$3,019.95

Where Montana sits

The same service costs 5.3 times more in Alaska than in Kentucky. 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

Montana· 43rd of 51

$5,449

$2,630 physician + $2,818 facility

AK $17,981KY $3,363

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.