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Virginia rates for HCPCS 63047

Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar

Facilitymedian $6,310 · 10th–90th $1,259–$16,5960%5%10th90th$6,310Professionalmedian $1,445 · 10th–90th $1,000–$2,0420%20%10th90th$1,445$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $6,760.83 / $17,782.79
Aetna
Facility/Professional
Facility
Modifier
80
Typical Low / Median / Typical High
$7,244.36 / $7,244.36 / $7,244.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $13,182.57 / $15,488.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $1,698.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,288.25 / $1,548.82
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,819.70 / $2,570.40
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,412.54 / $2,238.72
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,412.54 / $10,471.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $11,748.98 / $26,302.68