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Upper Back Cordotomy, One Side, Single Operation

Minnesota 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 $4,898 · 10th–90th $3,802$10,7150%10%20%10th90th$4,898Professionalmedian $3,715 · 10th–90th $2,512$5,7540%10%10th90th$3,715$2.0K$5.0K$10.0K

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

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$4,897.79
Typical High
$13,489.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$4,073.80
Typical High
$6,025.60
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$5,370.32
Typical High
$10,715.19
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,388.44
Typical High
$5,495.41
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$7,762.47
Typical High
$7,762.47