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Spinal Cord Surgery To Cut Pain Pathways On Both Sides

Hawaii rates for HCPCS 63197

Surgery to relieve severe pain that medicine can no longer control, most often from advanced cancer. Bone at the back of the spine in the mid-back is removed so the surgeon can reach the spinal cord and divide the pain-carrying pathways on both sides, all in a single operation. Because both pathways are cut, relief is felt on both sides of the body below the level treated.

Rates data updated October 2026.

How much does Spinal Cord Surgery To Cut Pain Pathways On Both Sides cost?

$2,042

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $2,042 for this service. The price depends on where it is billed: about $2,042 from a physician practice, and about $2,512 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,042$1,995 to $2,291
FacilityA hospital or hospital-owned outpatient department$2,512$1,202 to $2,818

How much rates vary

Facilitymedian $2,512 · 10th to 90th $1,148 to $3,802Professionalmedian $2,042 · 10th to 90th $30 to $2,570
$50$100$200$500$1K$2Kfacility $2,512professional $2,042

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$1,698.24
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
HMSA
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$2,454.71
Typical High
$2,570.40
HMSA
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$1,096.48
Median
$1,230.27
Typical High
$1,288.25
HMSA
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$371.54
Median
$416.87
Typical High
$436.52
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$1,949.84
Typical High
$2,454.71
United
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$1,202.26
Typical High
$2,511.89
United
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$2,041.74
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$281.84
Typical High
$2,238.72

Where Hawaii sits

The same service costs 6.0 times more in Alaska than in Texas. 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.

Hawaii· 32nd of 51

$2,042

AK $7,079TX $1,175

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.