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Upper Back Cordotomy, One Side, Single Operation

Maryland 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 $372 · 10th–90th $174$1,4790%10%20%10th90th$372Professionalmedian $3,467 · 10th–90th $2,089$6,9180%10%20%10th90th$3,467$200.0$500.0$1.0K$2.0K$5.0K

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
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
$2,089.30
Median
$2,754.23
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$371.54
Typical High
$1,479.11