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Lower Back Fusion From Behind and Through the Disc

Hawaii rates for HCPCS 22633

Joins two vertebrae in the lower back permanently, working through an incision in the back. The worn disc between them is cleared out and a spacer packed with bone graft is set into the space, while further graft is laid alongside the back of the spine, so bone grows across and the two vertebrae become a single solid unit. It is used for a slipped or unstable segment, or where a collapsed disc is pinching nerves and other treatment has not helped.

Rates data updated October 2026.

How much does Lower Back Fusion From Behind and Through the Disc cost?

$2,188

Typical physician fee. In Hawaii, October 2026.

Insurers have agreed to pay about $2,188 for this service. Most negotiated rates run $2,188 to $2,399.

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 $6,918 · 10th to 90th $2,818 to $19,055Professionalmedian $2,188 · 10th to 90th $1,622 to $2,455
$500$1K$2K$5K$10K$20Kfacility $6,918professional $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
Facility
Modifier
None
Typical Low
$2,818.38
Median
$6,918.31
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,584.89
Median
$1,778.28
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$1,995.26
Typical High
$2,754.23
United
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$4,265.80
Typical High
$19,054.61
United
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$2,398.83
Typical High
$12,302.69

Where Hawaii sits

The same service costs 7.4 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.

Hawaii· 34th of 51

$2,188

AK $7,413TX $1,000

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.