go back

Repeat Lower Back Nerve Decompression

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $3,715 for this service. Most negotiated rates run $2,818 to $6,166.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,622 to $12,882
$100.0$1.0K$10.0Kfacility $3,715

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
$2,570.40
Median
$3,715.35
Typical High
$7,762.47
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$7,413.10
Typical High
$18,197.01
AllWays Health Partners
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,698.24
Typical High
$3,890.45
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$6,918.31
Typical High
$15,488.17
Health New England
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$6,918.31
Typical High
$21,877.62
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$7,413.10
Typical High
$18,197.01
Mass General Brigham
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$7,244.36
Typical High
$16,595.87

Where Massachusetts 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.

Massachusetts $3,715 · 37th 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.