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Upper Back Cordotomy, One Side, Single Operation

Virginia 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 does Upper Back Cordotomy, One Side, Single Operation cost?

$2,344

Typical physician fee. In Virginia, October 2026.

Insurers have agreed to pay about $2,344 for this service. Most negotiated rates run $1,862 to $2,344.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $2,344 · 10th to 90th $1,778 to $2,344
$2Kprofessional $2,344

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
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
Medcost
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$2,344.23
Typical High
$2,344.23
United
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,621.81
Typical High
$1,949.84

Where Virginia sits

The same service costs 281.8 times more in New York than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 25th of 39

$2,344

NY $8,511SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.