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New York rates for HCPCS 63055

Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic

Facilitymedian $6,918 · 10th–90th $2,291–$16,2180%10%10th90th$6,918$50.0$200.0$1.0K$5.0K$20.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $5,623.41 / $12,882.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $11,481.54 / $21,877.62
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,467.37 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $2,754.23 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $3,630.78 / $6,309.57
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $1,513.56
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $6,309.57 / $16,595.87
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,691.53 / $7,079.46