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Wiring the Spine's Bony Bumps for Support

Virginia rates for HCPCS 22841

An added step during spine surgery in which wire is looped around the bony bumps that run down the middle of the back and tightened, holding the vertebrae steady while a fusion knits. It is one way of providing internal support and is always done as part of a larger spine operation rather than on its own. It is billed in addition to the main operation.

Rates data updated July 2026.

How much does Wiring the Spine's Bony Bumps for Support cost?

$457

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $457 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $1,259 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$427$380 to $603
FacilityA hospital or hospital-owned outpatient department$1,259$457 to $5,248

How much rates vary

Facilitymedian $1,259 · 10th to 90th $372 to $10,000Professionalmedian $427 · 10th to 90th $309 to $1,950
$0.1$1$10$100$1K$10Kfacility $1,259professional $427

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
$812.83
Median
$4,677.35
Typical High
$15,135.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$407.38
Typical High
$3,235.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$426.58
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$616.60
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$851.14
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$446.68
Typical High
$524.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$467.74
Typical High
$724.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Sentara
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$467.74
Typical High
$1,479.11
Sentara
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$467.74
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$34,673.69
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$426.58
Typical High
$776.25

Where Virginia sits

The same service costs 12.9 times more in California 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· 36th of 51

$457

CA $5,012DE $389

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.