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Repeat Lower Back Nerve Decompression

Iowa 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?

$5,248

Typical facility fee. In Iowa, July 2026.

Insurers have agreed to pay about $5,248 for this service. Most negotiated rates run $2,884 to $7,943.

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.

How much rates vary

Facilitymedian $6,166 · 10th to 90th $1,862 to $14,791Professionalmedian $2,399 · 10th to 90th $1,202 to $5,129
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $6,166professional $2,399

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
$1,778.28
Median
$6,165.95
Typical High
$11,481.54
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$17,378.01
Median
$17,378.01
Typical High
$17,378.01
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,862.09
Typical High
$5,495.41
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,467.37
Typical High
$17,782.79
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,090.30
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$11,748.98
Typical High
$19,054.61

Where Iowa 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.

Iowa $5,248 · 25th 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.