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Repeat Lower Back Nerve Decompression

Utah 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?

$4,571

Typical facility fee. In Utah, July 2026.

Insurers have agreed to pay about $4,571 for this service. Most negotiated rates run $2,291 to $7,413.

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 $6,918 · 10th to 90th $2,399 to $17,378Professionalmedian $2,089 · 10th to 90th $1,175 to $2,884
$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $6,918professional $2,089

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
$2,398.83
Median
$6,456.54
Typical High
$11,220.18
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$14,125.38
Typical High
$21,379.62
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$15,488.17
Median
$20,892.96
Typical High
$32,359.37
Select Health
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$2,089.30
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$5,128.61
Typical High
$15,848.93

Where Utah 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.

Utah $4,571 · 30th 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.