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Lower Back Fusion With Disc Removal

Vermont 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 October 2026.

How much does Lower Back Fusion With Disc Removal cost?

$2,188

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $2,188 for this service. Most negotiated rates run $1,950 to $2,692.

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 $2,884 · 10th to 90th $1,230 to $46,774Professionalmedian $2,188 · 10th to 90th $1,820 to $3,090
$500$1K$2K$5K$10K$20K$50Kfacility $2,884professional $2,188

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,862.09
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$2,187.76
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$46,773.51
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$2,691.53
Typical High
$2,691.53
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$2,137.96
Typical High
$2,454.71
United
Setting
Facility
Modifier
None
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$2,884.03
United
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$2,137.96
Typical High
$3,715.35

Where Vermont sits

The same service costs 7.6 times more in Alaska than in Texas. 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.

Vermont· 24th of 51

$2,188

AK $6,457TX $851

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.