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Spinal Nerve Root Rhizotomy With Laminectomy

Hawaii rates for HCPCS 63185

A back surgery in which part of the bony arch covering the spinal canal is removed so the surgeon can reach and cut one or more specific nerve roots. It is used to relieve severe, hard-to-control muscle spasms or nerve-related pain that has not responded to other treatment.

Rates data updated July 2026.

How much does Spinal Nerve Root Rhizotomy With Laminectomy cost?

$1,318

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $1,318 for this service. Most negotiated rates run $1,047 to $1,549.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,818 · 10th to 90th $2,818 to $3,467Professionalmedian $1,288 · 10th to 90th $1,000 to $1,698
$50$100$200$500$1K$2Kfacility $2,818professional $1,288

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. 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
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,122.02
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,513.56
Typical High
$1,819.70
HMSA
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,698.24
Typical High
$1,995.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,445.44
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,288.25
Typical High
$1,819.70
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$1,023.29
Typical High
$1,513.56

Where Hawaii sits

The same service costs 6.3 times more in California than in Kentucky. 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.

Hawaii· 42nd of 51

$1,318

CA $7,079KY $1,122

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.