go back

Repeat Lower Back Nerve Decompression

Virginia 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?

$3,090

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $3,090 for this service. Most negotiated rates run $1,622 to $8,913.

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 $3,236 · 10th to 90th $1,349 to $13,490Professionalmedian $1,698 · 10th to 90th $1,148 to $2,344
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $3,236professional $1,698

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
$1,479.11
Median
$5,248.07
Typical High
$11,481.54
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$13,182.57
Typical High
$15,488.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,479.11
Typical High
$1,737.80
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,187.76
Typical High
$3,019.95
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,698.24
Typical High
$2,570.40
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,698.24
Typical High
$12,022.64
United
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$12,302.69
Typical High
$27,542.29

Where Virginia 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.

Virginia $3,090 · 41st 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.