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Additional Level Of Lower Back Spinal Fusion

South Dakota rates for HCPCS 22632

Fuses one more level of the lower spine during the same operation, joining an additional pair of vertebrae so they heal together into one solid segment. It is billed in addition to the main procedure, and applies when more than one level of the lower back needs to be fused. Fusing an extra level stops movement there, which is done when more than one worn or unstable level is causing symptoms.

Rates data updated October 2026.

How much does Additional Level Of Lower Back Spinal Fusion cost?

$940

Typical total for the visit. In South Dakota, October 2026.

Insurers have agreed to pay about $940 for this procedure. That total is two separate charges: $631 to the doctor who performs it, and $309 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$631$479 to $741
Facility feeThe hospital or surgery center$309$126 to $427

How much rates vary

Facilitymedian $309 · 10th to 90th $126 to $813Professionalmedian $631 · 10th to 90th $324 to $832
$200$500$1K$2K$5Kfacility $309professional $631

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
Facility
Modifier
None
Typical Low
$309.03
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$288.40
Typical High
$316.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$524.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$676.08
Typical High
$851.14
Medica
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$389.05
Typical High
$676.08
Medica
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$707.95
Typical High
$5,128.61
Midlands
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Midlands
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$524.81
Typical High
$616.60
United
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$223.87
United
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$602.56
Typical High
$831.76
Wellmark
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$630.96
Typical High
$741.31

Where South Dakota sits

The same service costs 85.4 times more in Michigan than in Delaware. 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

South Dakota· 38th of 51

$940

$631 physician + $309 facility

MI $39,331DE $460

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.