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Repeat Lower Back Nerve Decompression

Maryland 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?

$1,778

Typical facility fee. In Maryland, July 2026.

Insurers have agreed to pay about $1,778 for this service. Most negotiated rates run $1,349 to $6,026.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,467 · 10th to 90th $1,288 to $7,762Professionalmedian $1,445 · 10th to 90th $1,288 to $2,291
$20.0$100.0$500.0$2.0K$10.0Kfacility $3,467professional $1,445

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
$1,288.25
Median
$3,467.37
Typical High
$7,762.47
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$14,125.38
Median
$14,125.38
Typical High
$14,125.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$3,467.37
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,445.44
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,318.26
Typical High
$14,791.08

Where Maryland 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.

Maryland $1,778 · 49th 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.