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Repeat Lower Back Nerve Decompression

Vermont 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 October 2026.

How much does Repeat Lower Back Nerve Decompression cost?

$1,738

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $1,738 for this service. Most negotiated rates run $1,622 to $2,188.

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 $2,692 · 10th to 90th $1,230 to $8,318Professionalmedian $1,660 · 10th to 90th $1,380 to $2,630
$500$1K$2K$5Kfacility $2,692professional $1,660

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,479.11
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$2,290.87
Typical High
$2,630.27
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$8,317.64
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,659.59
Typical High
$2,344.23
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,778.28
Typical High
$2,089.30
United
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
United
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,778.28
Typical High
$3,090.30

Where Vermont sits

The same service costs 6.6 times more in Alaska than in Utah. 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.

Vermont· 27th of 51

$1,738

AK $5,248UT $794

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.