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Repeat Lower Back Nerve Decompression

Illinois 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?

$3,715

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $3,715 for this service. Most negotiated rates run $1,950 to $8,511.

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 $4,467 · 10th to 90th $1,349 to $13,490Professionalmedian $2,291 · 10th to 90th $1,445 to $7,943
$100.0$500.0$2.0K$10.0Kfacility $4,467professional $2,291

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
$1,348.96
Median
$3,467.37
Typical High
$13,489.63
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$12,882.50
Median
$12,882.50
Typical High
$12,882.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$10,964.78
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$10,715.19
Typical High
$17,378.01
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,290.87
Typical High
$7,943.28
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$6,456.54
Typical High
$16,982.44

Where Illinois 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.

Illinois $3,715 · 36th 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.