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Repeat Lower Back Nerve Decompression

Nationwide rates for HCPCS 63042

Reopens a level of the lower spine that has been operated on before, clears the scar tissue, and frees a nerve root that is being pressed on, removing herniated disc material and trimming bone from the edge of the nerve channel as needed. It is done when symptoms return at a level already treated. It covers one level of the spine.

Rates data updated July 2026.

How much does Repeat Lower Back Nerve Decompression cost?

$9,240

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $9,240 for this procedure. That total is two separate charges: $1,995 to the doctor who performs it, and $7,244 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 56 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,995$1,479 to $2,884
Facility feeThe hospital or surgery center$7,244$3,388 to $12,589

How much rates vary

Facilitymedian $7,244 · 10th to 90th $1,622 to $19,498Professionalmedian $1,995 · 10th to 90th $1,230 to $5,623
$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0Mfacility $7,244professional $1,995

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$5,888.44
Typical High
$16,218.10
Aetna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$12,589.25
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,786.30
Median
$13,803.84
Typical High
$21,877.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$11,481.54
Typical High
$24,547.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$4,365.16
Typical High
$15,488.17
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$8,511.38
Typical High
$19,054.61

What it costs in each state

The same service costs 3.6 times more in Wisconsin than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee
WI $17,474MD $4,913

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.