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California rates for MS-DRG 028

Spinal Procedures With Mcc

Facilitymedian $147,911 · 10th–90th $16,982$204,1740%10%20%10th90th$147,911$100.0$500.0$2.0K$10.0K$50.0K$200.0K

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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $125,892.54 / $194,984.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $151,356.12 / $204,173.79
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $91,201.08 / $194,984.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $114,815.36 / $199,526.23
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $288.40
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213,796.21 / $213,796.21 / $213,796.21
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $120,226.44 / $213,796.21
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97,723.72 / $97,723.72 / $97,723.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $102,329.30 / $204,173.79