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Repeat Lower Back Nerve Decompression

Montana 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?

$4,179

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

Insurers have agreed to pay about $4,179 for this procedure. That total is two separate charges: $2,089 to the doctor who performs it, and $2,089 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,089$1,349 to $2,089
Facility feeThe hospital or surgery center$2,089$2,089 to $2,570

How much rates vary

Facilitymedian $2,089 · 10th to 90th $1,862 to $5,888Professionalmedian $2,089 · 10th to 90th $1,148 to $2,239
$100$200$500$1K$2K$5K$10Kfacility $2,089professional $2,089

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,318.26
Typical High
$2,818.38
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$6,025.60
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$2,089.30
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$5,888.44
Typical High
$16,982.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,862.09
Median
$2,089.30
Typical High
$2,398.83
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$2,089.30
Typical High
$2,238.72
Providence
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$5,888.44
Typical High
$16,982.44
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,862.09
Typical High
$2,089.30
United
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$3,311.31
Typical High
$9,120.11
United
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$2,187.76
Typical High
$2,398.83

Where Montana 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

Montana· 50th of 51

$4,179

$2,089 physician + $2,089 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.