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Upper Back Cordotomy, One Side, Single Operation

California 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.

Facilitymedian $11,749 · 10th–90th $6,918$19,0550%5%10%10th90th$11,749Professionalmedian $7,762 · 10th–90th $1,318$7,7620%50%10th$7,762$100.0$500.0$2.0K$10.0K

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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$11,748.98
Typical High
$20,417.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$5,754.40
Typical High
$6,918.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$630.96
Typical High
$1,698.24
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,248.07
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$7,762.47
Median
$7,762.47
Typical High
$7,762.47
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,737.80
Typical High
$2,951.21