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Nationwide rates for HCPCS 63056

Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal approach) (eg, far lateral herniated intervertebral disc)

Facilitymedian $7,079 · 10th–90th $1,862–$18,1970%5%10%10th90th$7,079Professionalmedian $2,239 · 10th–90th $1,288–$6,0260%10%10th90th$2,239$20.0$200.0$2.0K$20.0K$200.0K

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
$1,737.80 / $5,888.44 / $14,791.08
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$10,000.00 / $10,000.00 / $10,000.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $11,481.54 / $23,988.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $4,466.84 / $10,232.93
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$3,019.95 / $3,019.95 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$257.04 / $257.04 / $257.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $8,317.64 / $19,054.61

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