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Additional Level Of Lower Back Spinal Fusion

Indiana 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 July 2026.

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

$4,898

Typical facility fee. In Indiana, July 2026.

Insurers have agreed to pay about $4,898 for this service. Most negotiated rates run $871 to $5,623.

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 $4,898 · 10th to 90th $575 to $30,903
$500$1K$2K$5K$10K$20K$50Kfacility $4,898

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$4,897.79
Typical High
$5,623.41
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$30,902.95
Typical High
$75,857.76
CareSource
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$457.09
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Cigna
Setting
Facility
Modifier
62 · Two surgeons
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,290.87
Typical High
$7,413.10

Where Indiana sits

The same service costs 11481.5 times more in California than in Maine. 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.

Indiana· 4th of 50

$4,898

CA $10,715ME $0.93

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.