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Additional Level Of Lower Back Spinal Fusion

Hawaii rates for HCPCS 22634

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?

$631

Typical physician fee. In Hawaii, October 2026.

Insurers have agreed to pay about $631 for this service. Most negotiated rates run $562 to $759.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,884 · 10th to 90th $269 to $18,621Professionalmedian $631 · 10th to 90th $468 to $794
$100$200$500$1K$2K$5K$10Kfacility $2,884professional $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
$1,000.00
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$478.63
Typical High
$616.60
Cigna
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
HMSA
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$758.58
Typical High
$794.33
HMSA
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$114.82
Median
$128.82
Typical High
$134.90
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$489.78
Typical High
$616.60
United
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$1,122.02
Typical High
$18,620.87
United
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$630.96
Typical High
$630.96

Where Hawaii sits

The same service costs 4.3 times more in Alaska than in Utah. 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· 30th of 51

$631

AK $1,950UT $457

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.