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Complex Spinal Fusion Except Cervical (without CC/MCC)

New York 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?

$109,648

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $109,648 for this service. Most negotiated rates run $72,444 to $138,038.

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 $109,648 · 10th to 90th $45,709 to $162,181
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0Kfacility $109,648

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
$33,884.42
Median
$87,096.36
Typical High
$162,181.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$87,096.36
Median
$138,038.43
Typical High
$169,824.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74,131.02
Median
$117,489.76
Typical High
$151,356.12
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$100,000.00
Typical High
$208,929.61
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$38,904.51
Typical High
$38,904.51
United
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$93,325.43
Typical High
$169,824.37

Where New York 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 York $109,648 · 2nd 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.