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Lumbar Laminotomy with Annular Closure Device, 1 Interspace

Virginia rates for HCPCS C9757

Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implantation of bone anchored annular closure device, including annular defect measurement, alignment and sizing assessment, and image guidance; 1 interspace, lumbar

Rates data updated July 2026.

How much does Lumbar Laminotomy with Annular Closure Device, 1 Interspace cost?

$7,079

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $7,079 for this service. The price depends on where it is billed: about $4,365 from a physician practice, and about $8,511 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,365$240 to $11,482
FacilityA hospital or hospital-owned outpatient department$8,511$5,248 to $11,482

How much rates vary

Facilitymedian $8,511 · 10th to 90th $3,236 to $15,488Professionalmedian $4,365 · 10th to 90th $0 to $16,596
$0.1$1$10$100$1K$10Kfacility $8,511professional $4,365

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$6,165.95
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$8,317.64
Typical High
$16,595.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$14,791.08
Typical High
$15,848.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$12,589.25
Median
$18,197.01
Typical High
$22,387.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$28,183.83
Sentara
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$10,232.93
Typical High
$16,982.44
Sentara
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$10,232.93
Typical High
$16,982.44
United
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$12,302.69
Typical High
$27,542.29

Where Virginia sits

The same service costs 166.0 times more in Montana than in Maryland. 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.

Virginia· 30th of 51

$7,079

MT $39,811MD $240

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.