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Repeat Lower Back Nerve Decompression

California 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?

$10,471

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $10,471 for this service. Most negotiated rates run $6,918 to $14,125.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $10,715 · 10th to 90th $3,890 to $20,893Professionalmedian $1,479 · 10th to 90th $1,122 to $3,631
$100.0$1.0K$10.0Kfacility $10,715professional $1,479

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
$3,981.07
Median
$10,471.29
Typical High
$34,673.69
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,311.31
Median
$13,182.57
Typical High
$13,182.57
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$11,220.18
Typical High
$17,782.79
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$9,549.93
Typical High
$20,892.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$6,918.31
Typical High
$10,000.00
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,479.11
Typical High
$5,011.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,479.11
Typical High
$3,311.31
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$18,197.01
Typical High
$20,892.96
Lucent Health
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,621.81
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$14,454.40
Typical High
$34,673.69

Where California sits

The same service costs 20.4 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $10,471 · 6th of 50
IN $24,547WV $1,202

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.