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).

$2,471 National median

$278 – $6,642 IQR (p25 – p75)

1,530 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: $2,472.

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
NJ	$14,930	$1,715	$14,930
OR	$12,835	$7,246	$14,755
SD	$11,107	$8,288	$11,107
VA	$10,224	$2,550	$14,938
OH	$7,853	$2,547	$9,362
FL	$5,370	$1,950	$7,351
MD	$5,154	$4,449	$5,337
DC	$5,001	$2,932	$7,527
NY	$4,609	$520	$5,721
LA	$4,466	$2,690	$7,635
ID	$4,056	$521	$4,656
TX	$4,000	$1,350	$6,045
WI	$3,823	$697	$10,843
IA	$3,803	$386	$13,117
GA	$3,633	$797	$7,706
MS	$3,369	$2,676	$11,847
OK	$2,990	$383	$5,291
NE	$2,834	$326	$3,908
AK	$2,539	$360	$4,590
AL	$2,386	$2,371	$13,965
AZ	$2,327	$195	$4,022
AR	$1,921	$147	$3,130
NV	$1,780	$176	$3,010
SC	$1,542	$821	$19,225
KY	$1,538	$171	$1,538
RI	$1,071	$177	$3,132
MO	$905	$322	$1,941
CT	$783	$420	$4,875
MN	$761	$193	$3,912
CO	$618	$177	$4,833
IL	$587	$211	$2,731
NH	$543	$278	$896
WA	$522	$418	$7,227
TN	$506	$208	$2,569
MA	$493	$183	$1,575
CA	$453	$175	$4,706
NM	$445	$296	$534
WY	$436	$178	$467
PA	$340	$182	$917
NC	$326	$169	$4,404
AS	$304	$220	$389
DE	$298	$175	$298
IN	$273	$158	$23,602
MI	$246	$117	$1,009
MT	$212	$97	$472
ME	$191	$151	$192
HI	$181	$178	$186
WV	$173	$141	$304
ND	$171	$164	$216
KS	$164	$147	$922
VT	$164	$143	$247
UT	$28	$28	$497

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

NJ	$14,930	$1,715	$14,930	$1	$49,347	41	204	2,181
OR	$12,835	$7,246	$14,755	$6,629	$27,931	10	9	62
SD	$11,107	$8,288	$11,107	$1	$23,365	6	61	171
VA	$10,224	$2,550	$14,938	$170	$113,394	34	32	299
OH	$7,853	$2,547	$9,362	<$1	$110,655	52	61	391
FL	$5,370	$1,950	$7,351	<$1	$50,000	110	105	2,391
MD	$5,154	$4,449	$5,337	$4,052	$5,740	1 ⚠ thin data	3	9
DC	$5,001	$2,932	$7,527	$1,556	$26,454	2 ⚠ thin data	3	6
NY	$4,609	$520	$5,721	$92	$155,149	71	132	2,825
LA	$4,466	$2,690	$7,635	$25	$22,449	26	73	446
ID	$4,056	$521	$4,656	$28	$18,115	13	69	469
TX	$4,000	$1,350	$6,045	<$1	$349,121	180	189	3,922
WI	$3,823	$697	$10,843	$121	$25,737	63	98	1,020
IA	$3,803	$386	$13,117	$4	$27,815	14	107	250
GA	$3,633	$797	$7,706	$29	$50,000	45	64	618
MS	$3,369	$2,676	$11,847	$157	$31,429	12	36	190
OK	$2,990	$383	$5,291	$150	$55,384	30	25	210
NE	$2,834	$326	$3,908	$79	$24,940	20	74	398
AK	$2,539	$360	$4,590	$360	$6,642	3	14	26
AL	$2,386	$2,371	$13,965	$25	$208,612	19	112	400
AZ	$2,327	$195	$4,022	$159	$7,274	22	32	380
AR	$1,921	$147	$3,130	$8	$11,316	10	40	129
NV	$1,780	$176	$3,010	$143	$7,328	19	74	241
SC	$1,542	$821	$19,225	<$1	$50,000	38	48	572
KY	$1,538	$171	$1,538	$118	$10,784	24	23	196
RI	$1,071	$177	$3,132	$165	$11,950	5	3	23
MO	$905	$322	$1,941	$30	$50,000	22	48	405
CT	$783	$420	$4,875	$175	$16,479	13	11	123
MN	$761	$193	$3,912	$1	$50,000	28	45	334
CO	$618	$177	$4,833	$59	$18,471	53	60	731
IL	$587	$211	$2,731	$113	$26,376	60	121	613
NH	$543	$278	$896	$58	$9,566	8	39	226
WA	$522	$418	$7,227	$102	$25,717	29	63	485
TN	$506	$208	$2,569	<$1	$9,067	47	44	1,122
MA	$493	$183	$1,575	$1	$50,000	20	32	176
CA	$453	$175	$4,706	<$1	$243,781	133	342	2,626
NM	$445	$296	$534	$148	$6,389	2 ⚠ thin data	16	43
WY	$436	$178	$467	$155	$3,700	8	29	60
PA	$340	$182	$917	$26	$13,073	39	60	653
NC	$326	$169	$4,404	$40	$18,367	26	38	186
AS	$304	$220	$389	$220	$389	1 ⚠ thin data	1	6
DE	$298	$175	$298	$175	$298	3	2	5
IN	$273	$158	$23,602	$36	$40,782	25	94	861
MI	$246	$117	$1,009	<$1	$124,405	45	238	1,251
MT	$212	$97	$472	$47	$646	9	40	113
ME	$191	$151	$192	$70	$256	12	10	51
HI	$181	$178	$186	$164	$806	5	6	15
WV	$173	$141	$304	$28	$9,062	9	34	104
ND	$171	$164	$216	$1	$5,926	6	14	45
KS	$164	$147	$922	$92	$19,495	19	43	229
VT	$164	$143	$247	$19	$901	2 ⚠ thin data	24	105
UT	$28	$28	$497	$28	$8,267	33	41	641