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Lumbar Spine Fusion From the Back, One Level

Montana rates for HCPCS 22612

Fusion of one level of the lower spine through an incision in the back, where the surfaces of two neighboring vertebrae are prepared and bone graft is packed along them so they knit into one solid block. It is done for instability, slippage of one vertebra on another, or ongoing pain from a worn-out level. Further levels fused in the same operation are billed separately, as are any rods and screws used.

Rates data updated October 2026.

How much does Lumbar Spine Fusion From the Back, One Level cost?

$5,024

Typical total for the visit. In Montana, October 2026.

Insurers have agreed to pay about $5,024 for this procedure. That total is two separate charges: $2,512 to the doctor who performs it, and $2,512 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,512$1,660 to $2,512
Facility feeThe hospital or surgery center$2,512$2,512 to $2,884

How much rates vary

Facilitymedian $2,512 · 10th to 90th $2,291 to $9,120Professionalmedian $2,512 · 10th to 90th $1,349 to $2,692
$100$500$2K$10Kfacility $2,512professional $2,512

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,584.89
Typical High
$2,511.89
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$2,238.72
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$21,877.62
Typical High
$42,657.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$2,290.87
Median
$2,511.89
Typical High
$2,884.03
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$2,511.89
Typical High
$2,691.53
Providence
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$21,877.62
Typical High
$42,657.95
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$2,290.87
Typical High
$2,511.89
United
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$3,311.31
Typical High
$9,120.11
United
Setting
Professional
Modifier
None
Typical Low
$2,344.23
Median
$2,691.53
Typical High
$2,951.21

Where Montana sits

The same service costs 6.9 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

Montana· 47th of 51

$5,024

$2,512 physician + $2,512 facility

AK $23,835KY $3,447

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.