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Neck Fusion of the Top Two Spinal Bones

South Dakota rates for HCPCS 22595

A fusion performed through the back of the neck that permanently joins the first and second bones of the spine, just below the skull. Bone graft, and wiring or screws where needed, hold the two together until they heal into one solid unit. It is used when instability at that level threatens the spinal cord, whether from injury, arthritis, or a condition present from birth.

Rates data updated July 2026.

How much does Neck Fusion of the Top Two Spinal Bones cost?

$2,570

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $2,570 for this service. Most negotiated rates run $2,089 to $3,020.

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 $2,570 · 10th to 90th $1,738 to $5,623Professionalmedian $2,570 · 10th to 90th $1,698 to $3,311
$2K$5K$10K$20Kfacility $2,570professional $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
$1,445.44
Median
$4,365.16
Typical High
$5,623.41
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,398.83
Typical High
$3,890.45
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,311.31
Typical High
$3,388.44
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,570.40
Typical High
$3,019.95
Sanford Health Plan
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$26,302.68

Where South Dakota sits

The same service costs 18.2 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.

South Dakota· 42nd of 50

$2,570

ME $26,303ND $1,445

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.