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Placement of a Spinal Fusion Support Device

South Dakota rates for HCPCS 22853

During spine fusion surgery, a surgeon inserts a device, such as a cage or mesh spacer, into the space between two vertebrae to help support the spine and encourage the bones to grow together. This device helps maintain proper spacing and alignment while fusion takes place. It's performed alongside, and in addition to, the main fusion procedure at that level of the spine.

Rates data updated July 2026.

How much does Placement of a Spinal Fusion Support Device cost?

$1,490

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $1,490 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $977 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$513$347 to $676
Facility feeThe hospital or surgery center$977$575 to $2,291

How much rates vary

Facilitymedian $977 · 10th to 90th $372 to $3,981Professionalmedian $513 · 10th to 90th $234 to $741
$200$500$1K$2K$5K$10Kfacility $977professional $513

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
$977.24
Median
$977.24
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$512.86
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$14.13
Median
$16.98
Typical High
$123.03
Avera
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$275.42
Typical High
$478.63
Avera
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$549.54
Typical High
$676.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$398.11
Typical High
$812.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$457.09
Typical High
$1,819.70
Midlands
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$575.44
Typical High
$575.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$549.54
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$426.58
Typical High
$549.54
Sanford Health Plan
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$416.87
Typical High
$676.08
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$501.19
Typical High
$588.84

Where South Dakota sits

The same service costs 18.4 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

South Dakota· 38th of 50

$1,490

$513 physician + $977 facility

CA $7,411MD $402

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.