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Lumbar Spine Fusion From the Back, One Level

South Dakota 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 July 2026.

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

$3,090

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $3,090 for this service. Most negotiated rates run $2,455 to $5,623.

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.

How much rates vary

Facilitymedian $17,378 · 10th to 90th $2,344 to $17,378Professionalmedian $2,692 · 10th to 90th $1,862 to $3,388
$2K$5K$10K$20Kfacility $17,378professional $2,692

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
$5,623.41
Median
$17,378.01
Typical High
$17,378.01
Avera
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$3,019.95
Typical High
$28,840.32
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,570.40
Typical High
$4,168.69
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,548.13
Typical High
$3,548.13
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,630.27
Typical High
$3,090.30
Sanford Health Plan
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$35,481.34

Where South Dakota sits

The same service costs 19.5 times more in Indiana than in Maryland. 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· 44th of 50

$3,090

IN $30,903MD $1,585

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.