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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 October 2026.

How much rates vary

Facilitymedian $1,585 · 10th to 90th $1,023 to $5,754Professionalmedian $2,239 · 10th to 90th $2,239 to $2,344
$500$1K$2K$5Kfacility $1,585professional $2,239

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

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$1,584.89
Typical High
$5,754.40
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,344.23