go back

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 July 2026.

Facilitymedian $6,026 · 10th–90th $2,042$12,8820%5%10%10th90th$6,026Professionalmedian $3,802 · 10th–90th $1,995$12,0230%20%40%10th90th$3,802$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$6,025.60
Typical High
$12,882.50
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,801.89
Typical High
$12,022.64
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,454.71
Typical High
$6,309.57