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Complex Spinal Fusion Except Cervical (without CC/MCC)

New Jersey rates for MS-DRG 458

Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions without CC/MCC

Rates data updated July 2026.

How much does Complex Spinal Fusion Except Cervical (without CC/MCC) cost?

$97,724

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $97,724 for this service. Most negotiated rates run $72,444 to $117,490.

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 $97,724 · 10th to 90th $50,119 to $134,896
$5.0K$10.0K$20.0K$50.0K$100.0K$200.0Kfacility $97,724

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
$58,884.37
Median
$100,000.00
Typical High
$134,896.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48,977.88
Median
$102,329.30
Typical High
$131,825.67
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$87,096.36
Median
$87,096.36
Typical High
$87,096.36
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$61,659.50
Median
$100,000.00
Typical High
$144,543.98
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$21,379.62
Typical High
$114,815.36

Where New Jersey sits

The same service costs 5.5 times more in California than in Michigan. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Jersey $97,724 · 7th of 51
CA $117,490MI $21,380

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.