Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; second level (List separately in addition to code for primary procedure)
Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.
Insurance Carrier
Facility/Professional
Modifier
Typical Low
Median
Typical High
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $3,235.94 / $9,549.93
Facility
$588.84
$3,235.94
$9,549.93
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $10,232.93 / $16,982.44
Facility
$3,890.45
$10,232.93
$16,982.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $660.69 / $1,905.46
Facility
$309.03
$660.69
$1,905.46
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
Facility
AS
$40.74
$40.74
$40.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $1,202.26 / $3,715.35
Facility
$288.40
$1,202.26
$3,715.35
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