Rods and Screws Spanning Many Spinal Levels

Nationwide rates for HCPCS 22844

Attaches rods anchored by screws or hooks to the back of the spine across a long stretch of vertebrae, holding them in position while a fusion heals. This is the version used when a large number of spinal bones are linked together, as in major deformity surgery. It is billed in addition to the fusion itself.

Rates data updated July 2026.

How much does Rods and Screws Spanning Many Spinal Levels cost?

$5,427

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $5,427 for this procedure. That total is two separate charges: $1,445 to the doctor who performs it, and $3,981 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

27% physician fee73% 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 51 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	$1,445	$1,023 to $2,042
Facility feeThe hospital or surgery center	The hospital or surgery center	$3,981	$1,660 to $8,913

How much rates vary

Facilitymedian $3,981 · 10th to 90th $977 to $15,849Professionalmedian $1,445 · 10th to 90th $832 to $4,266

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 $933.25 Median $3,162.28 Typical High $10,471.29	Facility	Global	$933.25	$3,162.28	$10,471.29
BCBS Setting Facility Modifier Global Typical Low $2,884.03 Median $9,549.93 Typical High $19,498.45	Facility	Global	$2,884.03	$9,549.93	$19,498.45
Cigna Setting Facility Modifier Global Typical Low $1,548.82 Median $3,019.95 Typical High $12,302.69	Facility	Global	$1,548.82	$3,019.95	$12,302.69
Cigna Setting Facility Modifier AS · PA/NP assist Typical Low $154.88 Median $154.88 Typical High $154.88	Facility	AS · PA/NP assist	$154.88	$154.88	$154.88
United Setting Facility Modifier Global Typical Low $275.42 Median $1,230.27 Typical High $5,011.87	Facility	Global	$275.42	$1,230.27	$5,011.87

What it costs in each state

The same service costs 10.7 times more in California 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.

CA $11,715MD $1,095

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.