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Upper Back Cordotomy, One Side, Single Operation

New York 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 $10,471 · 10th–90th $4,571$17,7830%10%10th90th$10,471Professionalmedian $3,981 · 10th–90th $3,981$4,3650%50%100%90th$3,981$200.0$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
$4,897.79
Median
$11,220.18
Typical High
$17,782.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$4,365.16
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$26,302.68
Typical High
$38,018.94
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$3,715.35
Typical High
$5,370.32