go back

Upper Back Cordotomy, One Side, Single Operation

Pennsylvania 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.

Professionalmedian $1,380 · 10th–90th $1,380$2,3990%50%90th$1,380$10.0$50.0$200.0$1.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,548.13
Typical High
$4,365.16
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,905.46
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$1,548.82
Typical High
$1,584.89
United
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38