go back

Texas rates for HCPCS 22633

Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace, lumbar;

Facilitymedian $4,677 · 10th–90th $1,318–$19,0550%10%10th90th$4,677$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $4,365.16 / $13,803.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $15,135.61 / $35,481.34
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $1,288.25 / $3,981.07
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $19,498.45 / $19,498.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,090.30 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$1,949.84 / $1,949.84 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $117,489.76
Lucent Health
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$72,443.60 / $72,443.60 / $72,443.60
Lucent Health
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$11,748.98 / $11,748.98 / $11,748.98
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,570.40 / $7,413.10
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,290.87 / $4,073.80
Providence
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $3,548.13
Providence
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$1,862.09 / $1,862.09 / $1,862.09
Providence
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $11,748.98 / $25,703.96