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Upper Back Cordotomy, One Side, Single Operation

Massachusetts 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

Professionalmedian $7,762 · 10th to 90th $7,762 to $7,762
professional $7,762

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
AllWays Health Partners
Setting
Professional
Modifier
None (both parts)
Typical Low
$7,762.47
Median
$7,762.47
Typical High
$7,762.47
Mass General Brigham
Setting
Professional
Modifier
None (both parts)
Typical Low
$7,762.47
Median
$7,762.47
Typical High
$7,762.47
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Well Sense
Setting
Facility
Modifier
26 · Professional part
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Well Sense
Setting
Professional
Modifier
26 · Professional part
Typical Low
$977.24
Median
$977.24
Typical High
$1,318.26