Upper Back Cordotomy, One Side, Single Operation

Oregon 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 $2,455 · 10th to 90th $1,950 to $3,020

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

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Pacific Source Setting Facility Modifier None Typical Low $1,949.84 Median $2,454.71 Typical High $3,019.95	Facility	None	$1,949.84	$2,454.71	$3,019.95