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Spacer Between Bones of the Lower Spine

Nebraska rates for HCPCS 22869

A small implant is placed between the bony projections at the back of two lower-spine vertebrae, holding them slightly apart so the openings the nerves pass through stay wider. No bone is removed to free the nerves, and the vertebrae are not fused together. This covers treatment at a single level of the spine.

Rates data updated July 2026.

How much does Spacer Between Bones of the Lower Spine cost?

$5,012

Typical facility fee. In Nebraska, July 2026.

Insurers have agreed to pay about $5,012 for this service. Most negotiated rates run $2,344 to $9,772.

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 $7,244 · 10th to 90th $759 to $14,454Professionalmedian $1,072 · 10th to 90th $851 to $1,380
$500$1K$2K$5K$10K$20Kfacility $7,244professional $1,072

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
$2,344.23
Median
$6,025.60
Typical High
$14,454.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$10,232.93
Typical High
$19,952.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$741.31
Typical High
$19,054.61
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$112.20
Median
$5,888.44
Typical High
$5,888.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,071.52
Typical High
$1,380.38
Midlands
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$8,128.31
Typical High
$19,498.45

Where Nebraska sits

The same service costs 91.2 times more in Indiana than in West Virginia. 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.

Nebraska· 20th of 50

$5,012

IN $38,905WV $427

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.