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Spacer Placement At A Second Lumbar Level

North Carolina rates for HCPCS 22868

Places a spacer between the bones at a second level of the lower spine, without fusing them. It is performed alongside work on the first level and charged in addition to it. Opening the spine to relieve pressure on the nerves and any image guidance are included.

Rates data updated July 2026.

How much does Spacer Placement At A Second Lumbar Level cost?

$708

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $708 for this service. Most negotiated rates run $269 to $3,631.

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 $708 · 10th to 90th $234 to $5,495Professionalmedian $562 · 10th to 90th $562 to $562
$200$500$1K$2K$5Kfacility $708professional $562

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
$234.42
Median
$2,630.27
Typical High
$8,709.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$602.56
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Medcost
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Medcost
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$275.42
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$891.25
Typical High
$1,995.26
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,479.11
Typical High
$1,479.11
Wellcare
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$147.91
Median
$147.91
Typical High
$147.91

Where North Carolina sits

The same service costs 40.7 times more in California 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.

North Carolina· 35th of 49

$708

CA $9,550ND $234

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.