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Oregon rates for HCPCS 22586

Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when performed, L5-S1 interspace

Facilitymedian $3,890 · 10th–90th $2,570–$23,9880%20%40%10th90th$3,890Professionalmedian $3,236 · 10th–90th $1,698–$5,4950%10%10th90th$3,236$10.0$50.0$200.0$1.0K$5.0K$20.0K$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
$3,890.45 / $5,128.61 / $23,988.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,137.96 / $5,370.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,548.13 / $5,495.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $4,168.69 / $4,897.79
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $3,090.30 / $4,897.79
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,715.35 / $5,495.41
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,890.45 / $3,981.07
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,951.21 / $4,466.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $3,981.07 / $5,623.41
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $46,773.51 / $70,794.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,677.35 / $6,165.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $41,686.94 / $75,857.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,801.89 / $5,495.41