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Repeat Lower Back Nerve Decompression

Wisconsin 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?

$13,490

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $13,490 for this service. Most negotiated rates run $4,266 to $17,783.

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 10 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $14,454 · 10th to 90th $2,951 to $22,387Professionalmedian $3,020 · 10th to 90th $1,950 to $4,266
$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $14,454professional $3,020

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
$2,570.40
Median
$14,454.40
Typical High
$22,387.21
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$18,620.87
Median
$18,620.87
Typical High
$18,620.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$15,488.17
Typical High
$26,302.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,801.89
Typical High
$6,606.93
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,691.53
Typical High
$7,244.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,884.03
Typical High
$16,595.87
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$10,715.19
Typical High
$17,378.01
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,698.24
Typical High
$2,951.21
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,951.21
Typical High
$4,265.80
Quartz
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$14,454.40
Typical High
$20,892.96
Quartz
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$2,089.30
Security Health
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$13,803.84
Typical High
$17,378.01

Where Wisconsin 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.

Wisconsin $13,490 · 3rd 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.