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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 October 2026.

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

$109,648

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $109,648 for this service. Most negotiated rates run $77,625 to $134,896.

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 $109,648 · 10th to 90th $53,703 to $165,959
$5K$10K$20K$50K$100K$200Kfacility $109,648

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$35,481.34
Median
$85,113.80
Typical High
$162,181.01
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$81,283.05
Median
$123,026.88
Typical High
$165,958.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$63,095.73
Median
$104,712.85
Typical High
$151,356.12
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$60,255.96
Median
$109,647.82
Typical High
$204,173.79
United
Setting
Facility
Modifier
None
Typical Low
$21,379.62
Median
$87,096.36
Typical High
$165,958.69

Where New York sits

The same service costs 407.4 times more in Alaska than in Hawaii. 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.

New York· 2nd of 51

$109,648

AK $112,202HI $275

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.