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Additional Level Of Lower Back Spinal Fusion

Virginia 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 July 2026.

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

$832

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $832 for this service. Most negotiated rates run $398 to $4,365.

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.

How much rates vary

Facilitymedian $1,000 · 10th to 90th $331 to $8,318Professionalmedian $398 · 10th to 90th $269 to $603
$200$500$1K$2K$5K$10Kfacility $1,000professional $398

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
$363.08
Median
$3,630.78
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$14,791.08
Typical High
$15,848.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$346.74
Typical High
$407.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$602.56
Typical High
$741.31
Medcost
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$416.87
Typical High
$660.69
Sentara
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$426.58
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$2,454.71

Where Virginia sits

The same service costs 195.0 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.

Virginia· 35th of 49

$832

IN $33,113MD $170

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.