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Metal Instrumentation Along The Front Of The Spine

Montana 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?

$2,377

Typical total for the visit. In Montana, October 2026.

Insurers have agreed to pay about $2,377 for this procedure. That total is two separate charges: $1,202 to the doctor who performs it, and $1,175 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,202$776 to $1,202
Facility feeThe hospital or surgery center$1,175$1,148 to $1,259

How much rates vary

Facilitymedian $1,175 · 10th to 90th $1,096 to $2,818Professionalmedian $1,202 · 10th to 90th $646 to $1,288
$100$200$500$1K$2K$5K$10Kfacility $1,175professional $1,202

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$758.58
Typical High
$1,174.90
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,202.26
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,148.15
Typical High
$1,318.26
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$1,148.15
Typical High
$1,230.27
Providence
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,071.52
Typical High
$1,202.26
United
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$3,311.31
Typical High
$9,120.11
United
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,288.25
Typical High
$1,412.54

Where Montana sits

The same service costs 7.9 times more in Alabama than in Kentucky. 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

Montana· 49th of 51

$2,377

$1,202 physician + $1,175 facility

AL $15,682KY $1,997

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.