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Rod and Screw Fixation of the Spine

North Carolina rates for HCPCS 22842

Metal rods are anchored to the back of the spine with screws, hooks, or wires at each level, holding the vertebrae still so a fusion can knit solidly. This version covers a span of three to six vertebrae. It is performed as part of a larger spinal operation and billed in addition to it.

Rates data updated July 2026.

How much does Rod and Screw Fixation of the Spine cost?

$1,230

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $1,230 for this service. Most negotiated rates run $832 to $2,455.

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 $1,230 · 10th to 90th $741 to $5,495Professionalmedian $1,445 · 10th to 90th $1,445 to $1,738
$1$10$100$1K$10Kfacility $1,230professional $1,445

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. 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
Global
Typical Low
$741.31
Median
$1,659.59
Typical High
$7,585.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
62 · Two surgeons
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,737.80
Medcost
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,047.13
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$891.25
Typical High
$1,995.26
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$5,495.41
Typical High
$5,623.41
Wellcare
Setting
Facility
Modifier
62 · Two surgeons
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$2,884.03
Wellcare
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$467.74
Median
$467.74
Typical High
$467.74

Where North Carolina sits

The same service costs 22908.7 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.

North Carolina· 41st of 50

$1,230

CA $8,710ME $0.38

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.