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Extra Level of Vertebral Body Removal in the Spine

North Dakota rates for HCPCS 63103

Removal of an additional vertebral body, beyond the first one, during an operation to clear bone or disease pressing on the spinal cord or the nerve roots leaving it. It is billed in addition to the main removal when the problem spans more than one level of the spine. Restoring support to the spine is handled as a separate part of the operation.

Rates data updated October 2026.

How much does Extra Level of Vertebral Body Removal in the Spine cost?

$1,226

Typical total for the visit. In North Dakota, October 2026.

Insurers have agreed to pay about $1,226 for this procedure. That total is two separate charges: $550 to the doctor who performs it, and $676 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$550$468 to $617
Facility feeThe hospital or surgery center$676$282 to $2,089

How much rates vary

Facilitymedian $676 · 10th to 90th $282 to $2,344Professionalmedian $550 · 10th to 90th $309 to $708
$500$1K$2K$5Kfacility $676professional $550

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$281.84
Typical High
$281.84
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$602.56
Typical High
$707.95
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$549.54
Median
$724.44
Typical High
$851.14
BCBS North Dakota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$323.59
Median
$416.87
Typical High
$489.78
BCBS North Dakota
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$46.77
Median
$60.26
Typical High
$70.79
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$346.74
Median
$446.68
Typical High
$524.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$524.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$549.54
Typical High
$812.83
Medica
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$758.58
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$537.03
Typical High
$724.44
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,288.25
Typical High
$2,511.89
United
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$537.03
Typical High
$588.84

Where North Dakota sits

The same service costs 25.1 times more in Alabama than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

North Dakota· 36th of 51

$1,226

$550 physician + $676 facility

AL $19,471DE $777

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.