20938 (HCPCS) by state — Price Transparency

HCPCS · across United States

20938 — Sp Bone Agrft Struct Add-on

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$2,547 National median

$283 – $6,642 IQR (p25 – p75)

1,511 hospitals filing

52 states

View hospital-by-hospital → Raw rate rows →

Estimate your cost

What would you pay?

Plug in your deductible, what you've already spent against it, your OOP-max, and your coinsurance %. We'll math the rest. Math reference: methodology.

This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

Uninsured estimates use the cash / self-pay median for this code: $3,293.

I am… Annual deductible (assumed — typical plan) Already spent this year

Checked your insurer’s portal? Enter your remaining deductible and out-of-pocket max above/below and leave “already spent” at 0.

Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

Loading estimate…

Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for 20938 (HCPCS), with interquartile range
State	Median	p25	p75
UT	$28	$28	$438
WV	$145	$138	$283
VT	$164	$143	$247
KS	$164	$147	$922
ND	$168	$164	$183
HI	$181	$178	$186
ME	$191	$151	$192
MT	$212	$97	$472
MI	$246	$117	$1,009
IN	$273	$158	$23,602
DE	$298	$175	$298
AS	$304	$220	$389
NC	$326	$169	$4,404
PA	$340	$182	$938
WY	$434	$178	$467
NM	$445	$296	$534
CA	$451	$175	$4,756
TN	$482	$203	$2,569
MA	$516	$196	$1,772
WA	$522	$418	$7,227
NH	$545	$278	$903
IL	$588	$210	$3,254
CO	$634	$177	$4,833
MN	$697	$184	$3,912
CT	$783	$420	$4,875
MO	$914	$323	$1,941
RI	$1,071	$177	$3,132
KY	$1,170	$169	$1,538
SC	$1,785	$839	$25,500
AR	$1,921	$147	$3,130
NV	$1,991	$176	$3,106
AZ	$2,327	$195	$4,022
AL	$2,386	$2,371	$13,965
AK	$2,539	$360	$4,590
OK	$2,629	$383	$4,727
MS	$2,820	$2,676	$11,096
NE	$2,834	$322	$3,908
GA	$3,633	$797	$7,706
IA	$3,803	$387	$13,117
WI	$3,823	$697	$10,843
TX	$4,020	$1,430	$6,045
ID	$4,056	$689	$4,656
LA	$4,466	$3,139	$8,044
NY	$4,609	$520	$5,742
DC	$5,001	$2,932	$7,527
MD	$5,154	$4,449	$5,337
FL	$5,385	$1,950	$7,350
OH	$7,853	$2,547	$9,433
VA	$10,224	$2,550	$14,938
SD	$11,107	$8,288	$11,107
OR	$12,835	$7,246	$14,755
NJ	$14,930	$1,715	$14,930

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

UT	$28	$28	$438	$28	$8,267	33	40	595
WV	$145	$138	$283	$28	$9,062	9	33	106
VT	$164	$143	$247	$19	$901	2 ⚠ thin data	24	105
KS	$164	$147	$922	$92	$19,495	19	43	229
ND	$168	$164	$183	$1	$5,926	6	11	41
HI	$181	$178	$186	$164	$806	5	6	15
ME	$191	$151	$192	$70	$256	12	10	51
MT	$212	$97	$472	$47	$646	9	40	113
MI	$246	$117	$1,009	<$1	$124,405	45	238	1,251
IN	$273	$158	$23,602	$36	$40,782	25	94	861
DE	$298	$175	$298	$175	$298	3	2	5
AS	$304	$220	$389	$220	$389	1 ⚠ thin data	1	6
NC	$326	$169	$4,404	$40	$18,367	26	38	186
PA	$340	$182	$938	$26	$13,073	39	60	662
WY	$434	$178	$467	$155	$3,700	8	30	61
NM	$445	$296	$534	$148	$6,389	2 ⚠ thin data	16	43
CA	$451	$175	$4,756	<$1	$243,781	131	340	2,619
TN	$482	$203	$2,569	<$1	$9,067	46	35	1,071
MA	$516	$196	$1,772	$1	$16,060	19	31	141
WA	$522	$418	$7,227	$102	$25,717	29	63	485
NH	$545	$278	$903	$58	$9,566	7	39	225
IL	$588	$210	$3,254	$113	$26,376	60	117	607
CO	$634	$177	$4,833	$59	$18,471	52	60	728
MN	$697	$184	$3,912	$1	$50,000	27	45	322
CT	$783	$420	$4,875	$175	$16,479	13	11	123
MO	$914	$323	$1,941	$30	$50,000	21	48	372
RI	$1,071	$177	$3,132	$165	$11,950	5	3	23
KY	$1,170	$169	$1,538	$118	$10,784	24	23	214
SC	$1,785	$839	$25,500	<$1	$50,000	36	41	517
AR	$1,921	$147	$3,130	$8	$11,316	10	40	129
NV	$1,991	$176	$3,106	$143	$7,328	19	74	249
AZ	$2,327	$195	$4,022	$159	$7,274	22	32	380
AL	$2,386	$2,371	$13,965	$25	$208,612	18	112	398
AK	$2,539	$360	$4,590	$360	$6,642	3	14	26
OK	$2,629	$383	$4,727	$150	$55,384	30	25	202
MS	$2,820	$2,676	$11,096	$149	$31,429	13	42	200
NE	$2,834	$322	$3,908	$79	$24,940	20	73	401
GA	$3,633	$797	$7,706	$29	$50,000	44	64	613
IA	$3,803	$387	$13,117	$4	$27,815	13	107	250
WI	$3,823	$697	$10,843	$121	$25,737	62	98	1,013
TX	$4,020	$1,430	$6,045	<$1	$349,121	180	189	3,853
ID	$4,056	$689	$4,656	$68	$18,115	12	66	456
LA	$4,466	$3,139	$8,044	$25	$22,449	25	68	421
NY	$4,609	$520	$5,742	$92	$155,149	69	131	2,799
DC	$5,001	$2,932	$7,527	$1,556	$26,454	2 ⚠ thin data	3	6
MD	$5,154	$4,449	$5,337	$4,052	$5,740	1 ⚠ thin data	3	9
FL	$5,385	$1,950	$7,350	<$1	$50,000	110	105	2,386
OH	$7,853	$2,547	$9,433	<$1	$110,655	50	61	389
VA	$10,224	$2,550	$14,938	$170	$113,394	34	32	299
SD	$11,107	$8,288	$11,107	$1	$23,365	6	61	171
OR	$12,835	$7,246	$14,755	$6,629	$27,931	10	9	66
NJ	$14,930	$1,715	$14,930	$1	$49,347	41	204	2,181