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Repeat Lower Back Nerve Decompression

South Dakota 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?

$2,344

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $2,344 for this service. Most negotiated rates run $1,905 to $2,951.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $12,882 · 10th to 90th $1,862 to $12,882Professionalmedian $2,239 · 10th to 90th $1,514 to $2,818
$2K$5K$10Kfacility $12,882professional $2,239

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
$4,365.16
Median
$12,882.50
Typical High
$12,882.50
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,089.30
Typical High
$3,388.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,884.03
Typical High
$2,884.03
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,238.72
Typical High
$2,570.40
Sanford Health Plan
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$14,791.08

Where South Dakota sits

The same service costs 20.4 times more in Indiana than in West Virginia. 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.

South Dakota· 47th of 50

$2,344

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.