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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.

Facilitymedian $2,188 · 10th–90th $1,479$3,0200%10%20%10th90th$2,188Professionalmedian $60 · 10th–90th $60$600%50%100%$60$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

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