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Upper Back Cordotomy, One Side, Single Operation

Ohio 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 $6,026 · 10th–90th $1,905$8,3180%10%20%10th90th$6,026Professionalmedian $2,239 · 10th–90th $2,239$2,3440%50%100%90th$2,239$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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$6,025.60
Typical High
$8,317.64
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,884.03
Typical High
$3,467.37