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Fusion of the Skull Base to the Upper Neck

North Carolina rates for HCPCS 22590

Joins the base of the skull to the top of the neck through an incision down the back of the neck, so that the head sits solidly on the spine. Bone graft together with rods, screws, or wires holds everything still until it heals into one unit. It is used when the junction between the head and the neck is unstable and puts the spinal cord and brainstem at risk.

Rates data updated July 2026.

How much does Fusion of the Skull Base to the Upper Neck cost?

$2,630

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $2,630 for this service. Most negotiated rates run $1,820 to $8,710.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,630 · 10th to 90th $1,549 to $13,804Professionalmedian $2,570 · 10th to 90th $2,570 to $3,631
$1K$2K$5K$10K$20K$50Kfacility $2,630professional $2,570

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. 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
Global
Typical Low
$1,548.82
Median
$5,888.44
Typical High
$13,803.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$2,691.53
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$3,630.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,041.74
Typical High
$3,162.28
United
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$18,620.87
Typical High
$28,840.32
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$48,977.88
Typical High
$48,977.88
Wellcare
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79

Where North Carolina sits

The same service costs 17.4 times more in Maine than in North Dakota. 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.

North Carolina· 44th of 50

$2,630

ME $26,303ND $1,514

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.