go back

Spinal Fusion At The Base Of The Spine

Massachusetts rates for HCPCS 22586

Fusion of the lowest disc space in the spine, reached through a small incision near the tailbone rather than through the abdomen or the back muscles. The worn disc is cleared out, bone graft is placed, and hardware holds the two vertebrae still while they knit together. Imaging guides the instruments throughout.

Rates data updated July 2026.

How much does Spinal Fusion At The Base Of The Spine cost?

$6,346

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

Insurers have agreed to pay about $6,346 for this procedure. That total is two separate charges: $2,630 to the doctor who performs it, and $3,715 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$2,630$2,042 to $4,571
Facility feeThe hospital or surgery center$3,715$2,818 to $5,888

How much rates vary

Facilitymedian $3,715 · 10th to 90th $2,188 to $8,511Professionalmedian $2,630 · 10th to 90th $1,778 to $5,623
$100$1K$10Kfacility $3,715professional $2,630

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
$2,570.40
Median
$3,715.35
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,041.74
Typical High
$5,623.41
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$6,309.57
Typical High
$42,657.95
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,754.23
Typical High
$9,120.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,884.03
Typical High
$5,754.40
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,754.23
Typical High
$4,897.79
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,691.53
Typical High
$3,311.31
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$6,918.31
Typical High
$20,417.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,715.35
Typical High
$5,495.41
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$6,309.57
Typical High
$42,657.95
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,754.23
Typical High
$9,120.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$7,244.36
Typical High
$39,810.72
United
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$3,162.28
Typical High
$6,309.57

Where Massachusetts sits

The same service costs 9.1 times more in Maine than in West Virginia. 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

Massachusetts· 39th of 50

$6,346

$2,630 physician + $3,715 facility

ME $37,936WV $4,180

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.