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Upper Back Cordotomy, One Side, Single Operation

Georgia 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 October 2026.

How much rates vary

Facilitymedian $2,089 · 10th to 90th $1,072 to $10,471Professionalmedian $3,802 · 10th to 90th $1,995 to $3,802
$1K$2K$5K$10Kfacility $2,089professional $3,802

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
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$2,089.30
Typical High
$10,471.29
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$3,801.89
Typical High
$3,801.89