Placing a Spacer Device in the Spine

Nationwide rates for HCPCS 22859

Puts a support device - such as a synthetic cage or mesh - into the space between two spinal bones or into a gap left in a spinal bone, restoring height and holding the spine in position. The device carries the load that the missing disc or bone would have carried. It is billed in addition to the main spinal operation.

Rates data updated July 2026.

How much does Placing a Spacer Device in the Spine cost?

$4,292

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $4,292 for this procedure. That total is two separate charges: $490 to the doctor who performs it, and $3,802 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

11% physician fee89% facility fee

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 52 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$490	$347 to $741
Facility feeThe hospital or surgery center	The hospital or surgery center	$3,802	$1,259 to $7,762

How much rates vary

Facilitymedian $3,802 · 10th to 90th $457 to $12,023Professionalmedian $490 · 10th to 90th $288 to $1,230

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $537.03 Median $3,090.30 Typical High $9,772.37	Facility	Global	$537.03	$3,090.30	$9,772.37
BCBS Setting Facility Modifier Global Typical Low $4,570.88 Median $8,317.64 Typical High $15,848.93	Facility	Global	$4,570.88	$8,317.64	$15,848.93
Cigna Setting Facility Modifier Global Typical Low $524.81 Median $933.25 Typical High $2,951.21	Facility	Global	$524.81	$933.25	$2,951.21
Cigna Setting Facility Modifier AS · PA/NP assist Typical Low $52.48 Median $52.48 Typical High $52.48	Facility	AS · PA/NP assist	$52.48	$52.48	$52.48
United Setting Facility Modifier Global Typical Low $275.42 Median $1,174.90 Typical High $3,801.89	Facility	Global	$275.42	$1,174.90	$3,801.89

What it costs in each state

The same service costs 11.3 times more in California than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee

CA $7,760MD $686

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.