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Lower Back Fusion With Disc Removal

South Dakota rates for HCPCS 22630

Fuses two bones of the lower spine together by clearing out the worn disc between them from behind and packing the gap with bone graft or a spacer, so the two vertebrae grow into one solid unit. It is used for a painful, unstable or collapsed segment of the lower back. Screws and rods are commonly added to hold the spine steady while the bone knits.

Rates data updated July 2026.

How much does Lower Back Fusion With Disc Removal cost?

$2,692

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $2,692 for this service. Most negotiated rates run $2,188 to $3,090.

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 $4,074 · 10th to 90th $1,778 to $5,623Professionalmedian $2,692 · 10th to 90th $1,778 to $3,388
$2K$5K$10K$20K$50Kfacility $4,074professional $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. 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
$4,073.80
Median
$4,073.80
Typical High
$5,623.41
Avera
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,951.21
Typical High
$44,668.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,454.71
Typical High
$4,073.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,467.37
Typical High
$3,467.37
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,630.27
Typical High
$3,090.30
Sanford Health Plan
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$54,954.09

Where South Dakota sits

The same service costs 57.5 times more in Delaware 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· 44th of 50

$2,692

DE $87,096ND $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.