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Lower Back Fusion From Behind and Through the Disc

Virginia 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 July 2026.

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

$4,074

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $4,074 for this service. Most negotiated rates run $2,570 to $10,965.

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 $4,266 · 10th to 90th $1,995 to $21,878Professionalmedian $2,042 · 10th to 90th $1,622 to $4,266
$2K$5K$10K$20K$50Kfacility $4,266professional $2,042

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
$2,089.30
Median
$4,786.30
Typical High
$12,882.50
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$67,608.30
Median
$74,131.02
Typical High
$75,857.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,041.74
Typical High
$2,454.71
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,290.87
Typical High
$3,467.37
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,398.83
Typical High
$10,964.78
United
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$21,877.62
Typical High
$52,480.75

Where Virginia sits

The same service costs 15.1 times more in West Virginia 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.

Virginia· 41st of 50

$4,074

WV $28,184DE $1,862

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.