# CPT 22558: Arthrodesis, lateral lumbar interbody fusion

Medicare CPT 22558 pays $1,423.88 in a non-facility setting and $1,423.88 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,255.10 in Nebraska to $1,738.32 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/22558-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Neurological Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,423.88 |
| National facility | $1,423.88 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,738.32 | $1,738.32 |
| Florida | $1,630.56 | $1,630.56 |
| Illinois | $1,609.17 | $1,609.17 |
| New York | $1,589.12 | $1,589.12 |
| District of Columbia | $1,568.23 | $1,568.23 |
| New Jersey | $1,536.78 | $1,536.78 |
| Connecticut | $1,518.68 | $1,518.68 |
| Michigan | $1,485.32 | $1,485.32 |
| Maryland | $1,469.38 | $1,469.38 |
| Massachusetts | $1,466.24 | $1,466.24 |
| Washington | $1,464.00 | $1,464.00 |
| West Virginia | $1,459.55 | $1,459.55 |
| Georgia | $1,447.34 | $1,447.34 |
| Pennsylvania | $1,436.70 | $1,436.70 |
| California | $1,432.93 | $1,432.93 |
| New Mexico | $1,430.86 | $1,430.86 |
| Rhode Island | $1,429.58 | $1,429.58 |
| Puerto Rico | $1,425.48 | $1,425.48 |
| Virgin Islands | $1,425.48 | $1,425.48 |
| Montana | $1,423.45 | $1,423.45 |
| New Hampshire | $1,414.86 | $1,414.86 |
| Colorado | $1,413.82 | $1,413.82 |
| Texas | $1,405.84 | $1,405.84 |
| Delaware | $1,400.53 | $1,400.53 |
| Louisiana | $1,395.71 | $1,395.71 |
| Oregon | $1,393.67 | $1,393.67 |
| Hawaii | $1,393.02 | $1,393.02 |
| Nevada | $1,388.12 | $1,388.12 |
| Ohio | $1,387.26 | $1,387.26 |
| Missouri | $1,384.18 | $1,384.18 |
| Arizona | $1,379.00 | $1,379.00 |
| Utah | $1,375.32 | $1,375.32 |
| Wyoming | $1,367.52 | $1,367.52 |
| South Carolina | $1,357.86 | $1,357.86 |
| Kentucky | $1,356.52 | $1,356.52 |
| Virginia | $1,352.65 | $1,352.65 |
| Oklahoma | $1,328.36 | $1,328.36 |
| Maine | $1,323.30 | $1,323.30 |
| North Carolina | $1,316.09 | $1,316.09 |
| Vermont | $1,312.39 | $1,312.39 |
| Mississippi | $1,306.02 | $1,306.02 |
| North Dakota | $1,295.12 | $1,295.12 |
| Minnesota | $1,284.06 | $1,284.06 |
| Tennessee | $1,283.39 | $1,283.39 |
| Indiana | $1,280.27 | $1,280.27 |
| South Dakota | $1,279.94 | $1,279.94 |
| Alabama | $1,274.69 | $1,274.69 |
| Idaho | $1,274.37 | $1,274.37 |
| Kansas | $1,274.04 | $1,274.04 |
| Arkansas | $1,256.58 | $1,256.58 |
| Iowa | $1,255.69 | $1,255.69 |
| Wisconsin | $1,255.36 | $1,255.36 |
| Nebraska | $1,255.10 | $1,255.10 |

## Related codes

- 20100: Exploration of penetrating wound, neck — https://www.med-reveal.com/rates/20100-cpt-fee-schedule
- 20103: Exploration of penetrating wound, extremity — https://www.med-reveal.com/rates/20103-cpt-fee-schedule
- 20200: Biopsy, muscle, superficial — https://www.med-reveal.com/rates/20200-cpt-fee-schedule
- 20220: Biopsy, bone, trocar or needle, superficial — https://www.med-reveal.com/rates/20220-cpt-fee-schedule
- 20245: Biopsy, bone, open, deep — https://www.med-reveal.com/rates/20245-cpt-fee-schedule
- 20500: Injection of sinus tract — https://www.med-reveal.com/rates/20500-cpt-fee-schedule
- 20526: Injection, carpal tunnel — https://www.med-reveal.com/rates/20526-cpt-fee-schedule
- 20550: Injection, single tendon sheath or ligament — https://www.med-reveal.com/rates/20550-cpt-fee-schedule

Commercial negotiated rates for 22558 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules