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Repeat Lower Back Nerve Decompression

West 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?

$1,202

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $1,202 for this service. Most negotiated rates run $1,202 to $2,630.

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 $1,202 · 10th to 90th $1,202 to $7,943
$100.0$1.0K$10.0Kfacility $1,202

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
$1,202.26
Median
$1,202.26
Typical High
$2,630.27
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$2,137.96
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$16,218.10
Typical High
$63,095.73
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$4,466.84
Typical High
$20,417.38

Where West 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.

West Virginia $1,202 · 50th 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.