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Repeat Lower Back Nerve Decompression

Colorado 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?

$10,000

Typical facility fee. In Colorado, July 2026.

Insurers have agreed to pay about $10,000 for this service. Most negotiated rates run $3,236 to $20,417.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $10,000 · 10th to 90th $1,738 to $33,884Professionalmedian $1,905 · 10th to 90th $1,202 to $4,677
$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $10,000professional $1,905

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$6,025.60
Typical High
$15,488.17
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$20,892.96
Typical High
$38,904.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$5,011.87
Typical High
$15,848.93
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
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,698.24
Typical High
$2,754.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,905.46
Typical High
$4,677.35
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,238.72
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$13,489.63
Typical High
$20,417.38

Where Colorado 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.

Colorado $10,000 · 7th 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.