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Repeat Lower Back Nerve Decompression

Hawaii 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 October 2026.

How much does Repeat Lower Back Nerve Decompression cost?

$5,387

Typical total for the visit. In Hawaii, October 2026.

Insurers have agreed to pay about $5,387 for this procedure. That total is two separate charges: $1,585 to the doctor who performs it, and $3,802 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,585$214 to $1,585
Facility feeThe hospital or surgery center$3,802$3,090 to $6,026

How much rates vary

Facilitymedian $3,802 · 10th to 90th $2,570 to $6,026Professionalmedian $1,585 · 10th to 90th $30 to $1,698
$50$200$1K$5Kfacility $3,802professional $1,585

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$2,570.40
Median
$6,025.60
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,288.25
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,445.44
Typical High
$1,995.26
United
Setting
Facility
Modifier
None
Typical Low
$3,090.30
Median
$3,801.89
Typical High
$8,912.51
United
Setting
Professional
Modifier
None
Typical Low
$1,513.56
Median
$1,584.89
Typical High
$1,584.89
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$213.80
Typical High
$1,698.24

Where Hawaii sits

The same service costs 4.7 times more in Colorado than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Hawaii· 41st of 51

$5,387

$1,585 physician + $3,802 facility

CO $15,002KY $3,224

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.