go back

Upper Back Cordotomy, One Side, Single Operation

Arizona rates for HCPCS 63195

Surgery for severe pain that has not responded to other treatment. Part of the bony arch of a vertebra in the chest section of the spine is removed to reach the spinal cord, and the pain-carrying pathway is cut on one side of the cord, relieving pain on the opposite side of the body. It is completed in a single operation.

Rates data updated July 2026.

How much rates vary

Facilitymedian $1,738 · 10th to 90th $1,259 to $5,248Professionalmedian $7,762 · 10th to 90th $1,230 to $7,762
$1K$2K$5Kfacility $1,738professional $7,762

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
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$5,011.87
Typical High
$5,248.07
Medica
Setting
Professional
Modifier
Global
Typical Low
$7,762.47
Median
$7,762.47
Typical High
$7,762.47
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,548.82
Typical High
$1,778.28
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,513.56
Typical High
$2,344.23