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Spinal Rods Anchored at the Ends of the Fusion

North Dakota rates for HCPCS 22840

Adds metal rods held by hooks, wires or screws that anchor at the ends of the stretch of spine being treated, keeping the bones steady while a fusion knits into solid bone. Anchoring only at the ends, rather than at every level in between, means fewer fixation points along the construct. It is placed during a spine operation and billed in addition to it.

Rates data updated October 2026.

How much does Spinal Rods Anchored at the Ends of the Fusion cost?

$2,105

Typical total for the visit. In North Dakota, October 2026.

Insurers have agreed to pay about $2,105 for this procedure. That total is two separate charges: $1,380 to the doctor who performs it, and $724 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,380$1,023 to $1,585
Facility feeThe hospital or surgery center$724$251 to $724

How much rates vary

Facilitymedian $724 · 10th to 90th $135 to $1,288Professionalmedian $1,380 · 10th to 90th $724 to $1,778
$200$500$1K$2K$5Kfacility $724professional $1,380

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
$724.44
Median
$724.44
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$724.44
Typical High
$1,000.00
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,513.56
Typical High
$1,778.28
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$1,412.54
Median
$1,819.70
Typical High
$2,137.96
BCBS North Dakota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$831.76
Median
$1,071.52
Typical High
$1,258.93
BCBS North Dakota
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$117.49
Median
$151.36
Typical High
$177.83
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$891.25
Median
$1,148.15
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$1,412.54
Typical High
$2,137.96
Medica
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$269.15
Typical High
$1,288.25
Medica
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,380.38
Typical High
$1,862.09
United
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$251.19
Typical High
$269.15
United
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,380.38
Typical High
$1,513.56

Where North Dakota sits

The same service costs 15.4 times more in Alabama 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

North Dakota· 25th of 51

$2,105

$1,380 physician + $724 facility

AL $15,703MD $1,022

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.