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Repeat Lower Back Nerve Decompression

Washington, DC 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?

$5,129

Typical facility fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $5,129 for this service. Most negotiated rates run $3,236 to $6,918.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,698 to $7,762Professionalmedian $2,692 · 10th to 90th $1,288 to $3,020
$2.0K$5.0K$10.0K$20.0Kfacility $5,495professional $2,692

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
$1,412.54
Median
$4,786.30
Typical High
$7,079.46
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$2,691.53
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$14,791.08
Typical High
$42,657.95

Where Washington, DC 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.

Washington, DC $5,129 · 26th 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.