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Repair of a Broken Peg Bone in the Upper Neck

Louisiana rates for HCPCS 22319

Treats a break or displacement of the odontoid, the small peg of bone at the top of the spine that the skull pivots on. The bone is put back into position and held with fixation so it can knit and the head stays securely attached to the neck.

Rates data updated July 2026.

How much does Repair of a Broken Peg Bone in the Upper Neck cost?

$5,580

Typical total for the visit. In Louisiana, July 2026.

Insurers have agreed to pay about $5,580 for this procedure. That total is two separate charges: $2,344 to the doctor who performs it, and $3,236 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,344$1,778 to $2,951
Facility feeThe hospital or surgery center$3,236$1,820 to $4,266

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,023 to $7,943Professionalmedian $2,344 · 10th to 90th $1,660 to $3,548
$1K$2K$5K$10K$20Kfacility $3,236professional $2,344

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
$1,000.00
Median
$3,162.28
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,344.23
Typical High
$3,548.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,570.40
Typical High
$3,019.95
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,511.89
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$7,413.10
Typical High
$19,498.45
United
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,949.84
Typical High
$3,548.13

Where Louisiana sits

The same service costs 9.9 times more in Wyoming than in Maryland. 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

Louisiana· 43rd of 50

$5,580

$2,344 physician + $3,236 facility

WY $29,252MD $2,950

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.