Spinal Fusion for Curvature, Very Long Section

Nationwide rates for HCPCS 22804

Straightens and permanently fuses a long run of the spine, thirteen or more vertebrae, through an incision down the back, to correct a curve or other deformity. Bone graft is laid along the spine and rods with screws or hooks hold the correction while the bones knit into one solid column. This is the most extensive version, used for curves that span most of the back.

Rates data updated July 2026.

How much does Spinal Fusion for Curvature, Very Long Section cost?

$11,491

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $11,491 for this procedure. That total is two separate charges: $3,548 to the doctor who performs it, and $7,943 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

31% physician fee69% facility fee

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 53 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$3,548	$2,570 to $5,248
Facility feeThe hospital or surgery center	The hospital or surgery center	$7,943	$3,802 to $15,488

How much rates vary

Facilitymedian $7,943 · 10th to 90th $2,344 to $23,988Professionalmedian $3,548 · 10th to 90th $2,188 to $8,318

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $1,737.80 Median $5,370.32 Typical High $14,454.40	Facility	Global	$1,737.80	$5,370.32	$14,454.40
BCBS Setting Facility Modifier Global Typical Low $5,248.07 Median $15,488.17 Typical High $30,199.52	Facility	Global	$5,248.07	$15,488.17	$30,199.52
Cigna Setting Facility Modifier Global Typical Low $1,000.00 Median $5,495.41 Typical High $18,620.87	Facility	Global	$1,000.00	$5,495.41	$18,620.87
United Setting Facility Modifier Global Typical Low $3,715.35 Median $12,022.64 Typical High $30,199.52	Facility	Global	$3,715.35	$12,022.64	$30,199.52

What it costs in each state

The same service costs 4.2 times more in Wisconsin than in Maryland. 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.

Physician feeFacility fee

Touch or drag across the chart to see any state's rate.

WI $20,078MD $4,818

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.