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Artificial Disc Replacement, Lower Back

Maryland rates for HCPCS 22857

This is a spine surgery, approached from the front of the body, in which a damaged disc between two vertebrae in the lower back is removed and replaced with an artificial disc device designed to preserve motion at that level. The surgeon prepares the surfaces of the adjoining vertebrae so the device fits securely. Unlike a procedure that permanently joins two vertebrae together, this approach is intended to let the spine keep moving at the treated level.

Rates data updated October 2026.

How much does Artificial Disc Replacement, Lower Back cost?

$1,820

Typical physician fee. In Maryland, October 2026.

Insurers have agreed to pay about $1,820 for this service. Most negotiated rates run $1,698 to $2,291.

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 $10,471 · 10th to 90th $631 to $22,909Professionalmedian $1,820 · 10th to 90th $1,514 to $2,570
$500$1K$2K$5K$10K$20Kfacility $10,471professional $1,820

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
$1,737.80
Median
$1,737.80
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,288.25
CareFirst
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$12,882.50
Typical High
$22,908.68
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$1,737.80
Typical High
$3,162.28
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$1,819.70
Typical High
$3,162.28
United
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$7,413.10
Typical High
$23,442.29
United
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,698.24
Typical High
$3,801.89
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$2,511.89

Where Maryland sits

The same service costs 9.1 times more in Alaska than in Texas. 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.

Maryland· 40th of 51

$1,820

AK $7,079TX $776

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.