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Repeat Lower Back Nerve Decompression

North Carolina 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?

$5,370

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $5,370 for this service. Most negotiated rates run $1,995 to $9,772.

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.

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,380 to $16,218Professionalmedian $2,188 · 10th to 90th $2,188 to $3,020
$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $5,370professional $2,188

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$7,413.10
Typical High
$16,218.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,918.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,137.96
Typical High
$15,488.17
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$3,019.95
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,737.80
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$13,803.84
Typical High
$23,442.29
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$20,892.96
Typical High
$20,892.96
Wellcare
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30

Where North Carolina 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.

North Carolina $5,370 · 23rd 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.