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Spinal Spacer Implant, Lower Back

South Dakota rates for HCPCS 22867

Places a small implant between the bony projections at the back of two neighbouring bones in the lower spine, holding them slightly apart so the space around the squeezed nerves is opened up. It treats back and leg pain from a narrowed spinal canal that eases when you lean forward. One level is treated, and the bones are not fused together.

Rates data updated July 2026.

How much does Spinal Spacer Implant, Lower Back cost?

$1,778

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $1,778 for this service. Most negotiated rates run $1,479 to $2,089.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,738 · 10th to 90th $1,230 to $4,898Professionalmedian $1,778 · 10th to 90th $1,230 to $2,239
$1K$2K$5K$10K$20Kfacility $1,738professional $1,778

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$4,365.16
Typical High
$4,897.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,584.89
Typical High
$2,137.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,137.96
Typical High
$2,238.72
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,778.28
Typical High
$2,290.87
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$35,481.34

Where South Dakota sits

The same service costs 38.0 times more in Indiana than in North Dakota. 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.

South Dakota· 47th of 50

$1,778

IN $38,905ND $1,023

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.