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Spacer Placed In A Gap Left In The Spine

California rates for HCPCS 22854

Places a supporting spacer, such as a hollow cage or block, into the gap left where part or all of a spinal bone has been removed. The spacer restores the height of the spinal column and gives bone a scaffold to grow across so the segment fuses solidly. It is billed in addition to the main procedure.

Rates data updated July 2026.

How much does Spacer Placed In A Gap Left In The Spine cost?

$7,079

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $7,079 for this service. Most negotiated rates run $4,786 to $10,233.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,413 · 10th to 90th $2,089 to $15,849Professionalmedian $347 · 10th to 90th $269 to $776
$200$500$1K$2K$5K$10K$20Kfacility $7,413professional $347

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
$1,698.24
Median
$5,888.44
Typical High
$16,982.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$7,943.28
Typical High
$15,848.93
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$2,691.53
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$309.03
Typical High
$416.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$354.81
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$5,011.87
Typical High
$5,011.87
Lucent Health
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Providence
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$380.19
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,621.81
Typical High
$6,760.83

Where California sits

The same service costs 44.7 times more in West Virginia than in Wyoming. 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.

California· 2nd of 49

$7,079

WV $13,183WY $295

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.