Cost analysis for CPT 22853 — Insertion of cage or mesh device to spine bone and disc space during spine fusion
Average Medicare Payment
$135.29
2023 data
Total Payments (2023)
$24.3M
Services (2023)
173.7K
Price Change (2017–2023)
-2.3%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2017 | $138.45 | $24.7M | 173.6K | — |
| 2018 | $133.11 | $25.3M | 184.4K | -3.9% |
| 2019 | $139.10 | $27.9M | 195.0K | +4.5% |
| 2020 | $140.24 | $23.9M | 165.6K | +0.8% |
| 2021 | $138.11 | $24.4M | 170.7K | -1.5% |
| 2022 | $135.62 | $24.3M | 173.4K | -1.8% |
| 2023 | $135.29 | $24.3M | 173.7K | -0.2% |
The most expensive state pays 2.0x more than the cheapest for this procedure. DC averages $204.48 vs SD at $102.35.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| DC | $204.48 | $103.7K | 507 | 11 |
| NY | $176.34 | $814.4K | 4.6K | 143 |
| MA | $169.49 | $515.9K | 3.0K | 77 |
| MI | $165.32 | $633.7K | 3.8K | 107 |
| PA | $163.89 | $631.6K | 3.9K | 104 |
| CT | $161.42 | $180.8K | 1.1K | 40 |
| PR | $159.33 | $23.1K | 145 | 3 |
| IL | $157.16 | $800.9K | 5.1K | 133 |
| RI | $156.97 | $66.9K | 426 | 15 |
| MD | $156.28 | $699.8K | 4.5K | 83 |
| KY | $154.70 | $309.2K | 2.0K | 64 |
| CA | $150.59 | $2.1M | 14.2K | 321 |
| FL | $149.88 | $2.4M | 15.8K | 326 |
| AK | $146.02 | $150.1K | 1.0K | 19 |
| MT | $143.46 | $165.0K | 1.1K | 24 |
| VA | $143.05 | $827.4K | 5.8K | 125 |
| NJ | $141.83 | $295.0K | 2.1K | 62 |
| OH | $140.79 | $816.5K | 5.8K | 149 |
| NM | $139.63 | $69.5K | 498 | 14 |
| TX | $138.95 | $2.2M | 15.6K | 341 |
| IA | $138.23 | $124.8K | 903 | 22 |
| GA | $138.09 | $837.7K | 6.1K | 145 |
| WY | $137.57 | $46.1K | 335 | 10 |
| OR | $132.83 | $267.0K | 2.0K | 49 |
| AZ | $131.92 | $890.6K | 6.8K | 132 |
| TN | $131.86 | $564.1K | 4.3K | 109 |
| UT | $131.54 | $275.8K | 2.1K | 56 |
| MO | $130.74 | $512.7K | 3.9K | 96 |
| AR | $129.74 | $206.9K | 1.6K | 35 |
| NC | $129.36 | $875.7K | 6.8K | 167 |
| WI | $128.51 | $150.7K | 1.2K | 37 |
| NH | $128.32 | $58.3K | 454 | 16 |
| MS | $128.04 | $175.9K | 1.4K | 26 |
| CO | $127.06 | $877.5K | 6.9K | 134 |
| KS | $126.46 | $263.7K | 2.1K | 46 |
| NV | $126.38 | $208.3K | 1.6K | 46 |
| WA | $125.29 | $488.3K | 3.9K | 102 |
| OK | $125.02 | $473.0K | 3.8K | 72 |
| SC | $124.86 | $548.0K | 4.4K | 94 |
| MN | $123.01 | $335.9K | 2.7K | 73 |
| LA | $121.72 | $605.3K | 5.0K | 82 |
| WV | $121.40 | $47.1K | 388 | 11 |
| NE | $120.46 | $192.3K | 1.6K | 41 |
| ND | $119.83 | $119.1K | 994 | 14 |
| IN | $118.92 | $526.0K | 4.4K | 121 |
| DE | $117.60 | $66.9K | 569 | 16 |
| ID | $114.46 | $170.7K | 1.5K | 41 |
| AL | $113.40 | $418.6K | 3.7K | 91 |
| SD | $102.35 | $122.1K | 1.2K | 27 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Henry Aryan | Neurosurgery | CA | $82.9K | 414 | $200.34 |
| Eric Oberlander | Neurosurgery | LA | $71.9K | 356 | $202.08 |
| Charles Park | Neurosurgery | MD | $59.1K | 262 | $225.69 |
| Charles Edwards, Ii | Orthopedic Surgery | MD | $56.5K | 248 | $227.68 |
| Michael Wang | Neurosurgery | FL | $52.4K | 200 | $261.86 |
| Paul Stanton | Orthopedic Surgery | CO | $52.0K | 259 | $200.89 |
| Richard Hynes | Orthopedic Surgery | FL | $51.1K | 243 | $210.48 |
| Connor Telles | Orthopedic Surgery | CA | $51.0K | 256 | $199.19 |
| Mark Frenkel | Neurosurgery | FL | $50.4K | 216 | $233.13 |
| Peter Campbell | Neurosurgery | LA | $48.5K | 244 | $198.60 |
| Daniel Williams | Orthopedic Surgery | NC | $48.3K | 249 | $194.09 |
| Devin Datta | Orthopedic Surgery | FL | $43.9K | 211 | $208.15 |
| Robert Kimber | Orthopedic Surgery | FL | $42.4K | 196 | $216.35 |
| Roger Sung | Orthopedic Surgery | CO | $41.0K | 202 | $202.79 |
| Dhruv Pateder | Orthopedic Surgery | VA | $40.2K | 176 | $228.67 |
| Yogish Kamath | Neurosurgery | TX | $39.5K | 205 | $192.83 |
| Ngoc-Lam Nguyen | Orthopedic Surgery | FL | $39.2K | 182 | $215.17 |
| John Dorchak | Orthopedic Surgery | GA | $38.4K | 201 | $191.20 |
| Joshua Herzog | Orthopedic Surgery | VA | $38.3K | 193 | $198.57 |
| James Eule | Orthopedic Surgery | AK | $37.8K | 150 | $252.33 |
Based on the data, CPT 22853 shows a 2.0x variation in pricing across states — moderate variation by Medicare standards.
Costs have decreased 2.3% since 2017. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.