CPT 22633 · professional fee

Arthrd cmbn 1ntrspc lumbar (CPT 22633): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 22633, from their published in-network rate files.

Orthopedic surgerySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$2,991

P10 to P90: $1,913 to $5,221

vs Medicare

176%

non-facility rate $1,700.11

Payer spread

1.37×

UHC $3,328 vs Aetna $2,433

State spread

3.8×

AK $8,234 to HI $2,197

5,040 sampled providers6,051 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers

UnitedHealthcare has the highest median for CPT 22633 in the files analyzed, at $3,328, 37% above Aetna ($2,433), the lowest of the 4 payers shown.

The state spread is 3.8×: Alaska has the highest median at $8,234 and Hawaii the lowest at $2,197, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 176% of the Medicare non-facility rate ($1,700.11), which ranks 74th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $1,118) and widest within UnitedHealthcare ($1,778).

This is a top-20 code for orthopedic surgery by Medicare allowed dollars, so it carries real revenue weight for that specialty.

Rates by payer

Median of per-provider median rates, with interquartile range

Payer	Median	P25	P75	vs national	Rank	Providers	Position
UnitedHealthcare	$3,328	$2,548	$4,326	+11%	1	4,260	196% of Medicare
Cigna	$3,050	$2,532	$3,980	+2%	2	4,016	179% of Medicare
Blue Cross Blue Shield	$3,040	$2,257	$3,724	+2%	3	3,860	179% of Medicare
Aetna	$2,433	$1,916	$3,034	-19%	4	2,569	143% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($1,700.11)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$8,234	+175%	Aetna	BCBS	63
2	Wisconsin	$4,982	+67%	BCBS	Aetna	100
3	Wyoming	$4,190	+40%	BCBS	UHC	65
4	South Dakota	$4,088	+37%	UHC	Cigna	97
5	Connecticut	$3,940	+32%	UHC	Aetna	114
6	New Jersey	$3,891	+30%	UHC	Aetna	96
7	District of Columbia	$3,875	+30%	Aetna	BCBS	35
8	Washington	$3,832	+28%	UHC	Aetna	100
9	Mississippi	$3,816	+28%	BCBS	Cigna	112
10	Iowa	$3,801	+27%	UHC	BCBS	104
11	Nebraska	$3,785	+27%	Cigna	BCBS	95
12	North Carolina	$3,621	+21%	UHC	Aetna	128
13	Oregon	$3,618	+21%	UHC	Aetna	90
14	North Dakota	$3,613	+21%	BCBS	Aetna	46
15	Massachusetts	$3,515	+18%	UHC	Aetna	111
16	Tennessee	$3,386	+13%	UHC	Aetna	114
17	Georgia	$3,379	+13%	UHC	Aetna	124
18	Rhode Island	$3,280	+10%	UHC	Aetna	98
19	Illinois	$3,170	+6%	UHC	Aetna	103
20	Vermont	$3,125	+5%	UHC	BCBS	35
21	Idaho	$3,098	+4%	Aetna	UHC	120
22	New Hampshire	$3,060	+2%	UHC	Aetna	118
23	Utah	$3,019	+1%	UHC	Aetna	96
24	Maryland	$2,996	+0%	UHC	BCBS	105
25	Colorado	$2,996	+0%	UHC	Aetna	104
26	Arkansas	$2,915	-3%	UHC	Aetna	119
27	New York	$2,895	-3%	Cigna	Aetna	110
28	Montana	$2,876	-4%	UHC	BCBS	79
29	Alabama	$2,863	-4%	BCBS	Cigna	118
30	South Carolina	$2,837	-5%	BCBS	Aetna	106
31	West Virginia	$2,829	-5%	UHC	BCBS	88
32	Pennsylvania	$2,823	-6%	UHC	Aetna	103
33	Virginia	$2,785	-7%	UHC	BCBS	105
34	New Mexico	$2,753	-8%	UHC	BCBS	104
35	Arizona	$2,728	-9%	UHC	Aetna	99
36	Delaware	$2,689	-10%	Cigna	UHC	58
37	Ohio	$2,675	-11%	UHC	Aetna	110
38	Kansas	$2,674	-11%	BCBS	Aetna	107
39	Michigan	$2,623	-12%	BCBS	Aetna	102
40	Louisiana	$2,605	-13%	Cigna	Aetna	103
41	Maine	$2,574	-14%	UHC	Aetna	93
42	Kentucky	$2,525	-16%	UHC	BCBS	124
43	Nevada	$2,506	-16%	BCBS	Aetna	109
44	Missouri	$2,496	-17%	UHC	Aetna	112
45	Indiana	$2,411	-19%	UHC	Aetna	115
46	Florida	$2,411	-19%	BCBS	Aetna	108
47	Oklahoma	$2,382	-20%	UHC	Aetna	100
48	Minnesota	$2,281	-24%	UHC	Aetna	98
49	California	$2,239	-25%	Cigna	Aetna	109
50	Texas	$2,227	-26%	UHC	Aetna	121
51	Hawaii	$2,197	-27%	BCBS	Cigna	67

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 22633?

In the files we analyzed, UnitedHealthcare, at a median of $3,328 across 4,260 sampled providers. Aetna is lowest at $2,433, 37% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 176% of the 2026 Medicare non-facility rate of $1,700.11.

Which state has the highest median for CPT 22633?

Alaska has the highest median at $8,234; Hawaii has the lowest at $2,197.

Is this the surgeon, physician or facility payment?

These are professional (physician) fees only. Facility, device and implant payments are priced separately and are not included.

How current is this data?

It is the August 2026 snapshot of each payer's in-network rate file. Sources and filters are listed in the methodology below.

Methodology

How these numbers are calculated

Source: in-network negotiated-rate files published under the federal Transparency in Coverage rule, August 2026 snapshot: UnitedHealthcare Choice plans (74 files); Aetna commercial plans (70 files); Cigna national PPO (1 files); BCBS licensees' own-network files (5,387 files). Payer comparisons describe these files, not each payer's entire book of business.
Sample: rates come from a random sample of up to 150 providers per state and specialty. Counts on this page are sampled providers and TINs, not totals.
Which providers count: only providers in a specialty relevant to the code, because a rate in a payer file attaches to a provider group and is listed under every provider in that group.
Filters: fee-for-service, professional billing class, no modifier, negotiated or fee-schedule dollar rates. Rates outside 1% to 1,000% of the Medicare rate are excluded.
Statistic: one median rate per provider, then percentiles across providers. A cell is shown only with at least 15 sampled providers and 4 TINs.
Medicare benchmark: CY2026 national physician fee schedule, non-QPP conversion factor, unadjusted for locality. Where the non-facility rate is more than twice the facility rate (office rates that include device or supply cost), the facility rate is used so comparisons are like for like.

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