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Open Repair of a Broken Lower-Back Vertebra

Pennsylvania 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?

$5,129

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $5,129 for this service. Most negotiated rates run $1,995 to $8,318.

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 $5,129 · 10th to 90th $1,023 to $9,772
$100$1K$10Kfacility $5,129

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
$588.84
Median
$5,370.32
Typical High
$9,549.93
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
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$26,915.35
Typical High
$26,915.35
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$5,011.87
Typical High
$10,964.78
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,949.84
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,165.95
Typical High
$38,018.94

Where Pennsylvania sits

The same service costs 169.8 times more in Wyoming than in Maine. 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· 22nd of 50

$5,129

WY $25,704ME $151

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.