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Spinal Fusion Except Cervical with Major Complications

New York rates for MS-DRG 459

Spinal fusion except cervical w MCC

Rates data updated July 2026.

How much rates vary

Facilitymedian $95,499 · 10th to 90th $34,674 to $125,893
$50K$100Kfacility $95,499

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$89,125.09
Median
$117,489.76
Typical High
$125,892.54
United
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$95,499.26
Typical High
$123,026.88