go back

Upper Back Cordotomy, One Side, Single Operation

Washington 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.

How much does Upper Back Cordotomy, One Side, Single Operation cost?

$2,188

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $2,188 for this service. Most negotiated rates run $1,622 to $2,630.

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

Facilitymedian $2,188 · 10th to 90th $1,479 to $3,020Professionalmedian $60 · 10th to 90th $60 to $60
$100$200$500$1K$2Kfacility $2,188professional $60

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,238.72
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,584.89
Typical High
$1,698.24

Where Washington sits

The same service costs 380.2 times more in California 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.

Washington· 31st of 44

$2,188

CA $11,482SC $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.