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Upper Back Cordotomy, One Side, Single Operation

Iowa 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 does Upper Back Cordotomy, One Side, Single Operation cost?

$2,630

Typical physician fee. In Iowa, October 2026.

Insurers have agreed to pay about $2,630 for this service. Most negotiated rates run $1,995 to $7,762.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,012 · 10th to 90th $2,630 to $5,248Professionalmedian $2,630 · 10th to 90th $1,995 to $7,762
$2K$5Kfacility $5,012professional $2,630

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
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,981.07
Medica
Setting
Facility
Modifier
None
Typical Low
$2,630.27
Median
$5,011.87
Typical High
$5,248.07
Medica
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$2,238.72
Typical High
$7,762.47
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,951.21

Where Iowa sits

The same service costs 281.8 times more in New York than in South Carolina. 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.

Iowa· 21st of 39

$2,630

NY $8,511SC $30.20

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.