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Nationwide rates for HCPCS 22515

Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; each additional thoracic or lumbar vertebral body (List separately in addition to code for primary procedure)

Facilitymedian $3,715 · 10th–90th $372–$11,4820%10%20%10th90th$3,715Professionalmedian $1,479 · 10th–90th $204–$6,1660%10%20%10th90th$1,479$0.0$0.5$10.0$200.0$5.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $3,388.44 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $1,584.89 / $5,623.41
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $5,128.61 / $13,803.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $371.54 / $6,309.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $9,332.54 / $26,302.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $1,000.00 / $7,943.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $1,258.93 / $8,128.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $2,691.53 / $7,079.46

See more rates by state

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