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Repeat Lower Back Nerve Decompression

Pennsylvania 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?

$6,607

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $6,607 for this service. Most negotiated rates run $3,890 to $8,318.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,607 · 10th to 90th $1,445 to $14,791
$200.0$1.0K$5.0K$20.0Kfacility $6,607

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
$1,445.44
Median
$6,760.83
Typical High
$12,589.25
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$10,000.00
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
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
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$16,218.10
Typical High
$38,018.94
Highmark BCBS
Setting
Facility
Modifier
22 · Increased work
Typical Low
$37,153.52
Median
$37,153.52
Typical High
$37,153.52
Highmark BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$14,125.38
Median
$14,125.38
Typical High
$14,125.38
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$6,309.57
Typical High
$14,791.08
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,801.89
Typical High
$6,606.93
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$5,888.44
Typical High
$21,379.62

Where Pennsylvania 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.

Pennsylvania $6,607 · 18th 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.