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Front-Approach Lower Back Fusion

South Dakota rates for HCPCS 22558

Fuses two bones of the lower spine together by reaching the spine from the front, through the abdomen, clearing the worn disc from between them and filling the gap with bone graft or a spacer. The two vertebrae then grow into one solid unit. Approaching from the front gives direct access to the disc without disturbing the back muscles and nerves.

Rates data updated October 2026.

How much does Front-Approach Lower Back Fusion cost?

$7,001

Typical total for the visit. In South Dakota, October 2026.

Insurers have agreed to pay about $7,001 for this procedure. That total is two separate charges: $3,020 to the doctor who performs it, and $3,981 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$3,020$2,239 to $3,631
Facility feeThe hospital or surgery center$3,981$2,089 to $4,169

How much rates vary

Facilitymedian $3,981 · 10th to 90th $2,089 to $5,623Professionalmedian $3,020 · 10th to 90th $1,479 to $4,074
$2K$5K$10K$20Kfacility $3,981professional $3,020

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$4,365.16
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,380.38
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$2,630.27
Typical High
$26,915.35
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$3,388.44
Typical High
$4,168.69
Medica
Setting
Facility
Modifier
None
Typical Low
$1,905.46
Median
$3,388.44
Typical High
$4,786.30
Medica
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$3,388.44
Typical High
$12,882.50
Midlands
Setting
Professional
Modifier
None
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
Midlands
Setting
Facility
Modifier
None
Typical Low
$26,915.35
Median
$26,915.35
Typical High
$32,359.37
Midlands
Setting
Professional
Modifier
None
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,311.31
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$2,454.71
Typical High
$3,019.95
United
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$4,786.30
United
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$2,951.21
Typical High
$4,073.80
Wellmark
Setting
Professional
Modifier
None
Typical Low
$2,951.21
Median
$3,090.30
Typical High
$3,630.78

Where South Dakota sits

The same service costs 10.6 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

South Dakota· 40th of 51

$7,001

$3,020 physician + $3,981 facility

AK $37,069KY $3,499

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.