Open Repair of a Broken Lower-Back Vertebra

Nationwide rates for HCPCS 22325

Open surgery through the back to realign a fractured or dislocated vertebra in the lower spine and hold it in the corrected position. The surgeon works from behind the spine to restore alignment and take pressure off the spinal nerves. It covers one fractured or dislocated segment.

Rates data updated July 2026.

How much does Open Repair of a Broken Lower-Back Vertebra cost?

$7,862

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $7,862 for this procedure. That total is two separate charges: $2,239 to the doctor who performs it, and $5,623 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

28% physician fee72% facility fee

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 54 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$2,239	$1,660 to $3,162
Facility feeThe hospital or surgery center	The hospital or surgery center	$5,623	$2,692 to $9,772

How much rates vary

Facilitymedian $5,623 · 10th to 90th $1,479 to $15,136Professionalmedian $2,239 · 10th to 90th $1,349 to $4,677

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $1,230.27 Median $4,897.79 Typical High $13,803.84	Facility	Global	$1,230.27	$4,897.79	$13,803.84
BCBS Setting Facility Modifier Global Typical Low $2,818.38 Median $7,244.36 Typical High $15,135.61	Facility	Global	$2,818.38	$7,244.36	$15,135.61
Cigna Setting Facility Modifier Global Typical Low $645.65 Median $4,168.69 Typical High $11,481.54	Facility	Global	$645.65	$4,168.69	$11,481.54
Cigna Setting Facility Modifier AS · PA/NP assist Typical Low $251.19 Median $251.19 Typical High $251.19	Facility	AS · PA/NP assist	$251.19	$251.19	$251.19
United Setting Facility Modifier Global Typical Low $2,041.74 Median $8,912.51 Typical High $21,877.62	Facility	Global	$2,041.74	$8,912.51	$21,877.62

What it costs in each state

The same service costs 4.9 times more in Nebraska than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee

NE $13,311MD $2,738

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.