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Metal Instrumentation Along The Front Of The Spine

Hawaii rates for HCPCS 22846

Covers the rods, plates, and screws fixed along the front of the spine to hold several vertebrae steady while a fusion knits. It is billed in addition to the fusion operation itself. The hardware carries load during healing and normally stays in place permanently.

Rates data updated October 2026.

How much does Metal Instrumentation Along The Front Of The Spine cost?

$891

Typical physician fee. In Hawaii, October 2026.

Insurers have agreed to pay about $891 for this service. Most negotiated rates run $123 to $891.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,884 · 10th to 90th $1,000 to $11,482Professionalmedian $891 · 10th to 90th $30 to $977
$50$200$1K$5Kfacility $2,884professional $891

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
$1,000.00
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$741.31
Typical High
$954.99
Cigna
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
HMSA
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,318.26
Typical High
$1,380.38
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$758.58
Typical High
$954.99
United
Setting
Facility
Modifier
None
Typical Low
$3,090.30
Median
$3,801.89
Typical High
$11,481.54
United
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$123.03
Typical High
$977.24

Where Hawaii sits

The same service costs 4.7 times more in Alaska than in Utah. 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.

Hawaii· 36th of 51

$891

AK $3,020UT $646

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.