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Release of a Tethered Spinal Cord, Lower Back

Hawaii rates for HCPCS 63200

Frees a spinal cord that is abnormally attached to the surrounding tissue in the lower back, so it is no longer pulled tight as the body grows or moves. Bone at the back of the spine is removed to reach the cord and the tethering tissue is divided. It is done to stop or prevent worsening leg weakness, numbness, back pain, or bladder trouble.

Rates data updated October 2026.

How much does Release of a Tethered Spinal Cord, Lower Back cost?

$5,664

Typical total for the visit. In Hawaii, October 2026.

Insurers have agreed to pay about $5,664 for this procedure. That total is two separate charges: $1,862 to the doctor who performs it, and $3,802 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,862$1,778 to $2,089
Facility feeThe hospital or surgery center$3,802$3,467 to $3,981

How much rates vary

Facilitymedian $3,802 · 10th to 90th $2,818 to $10,233Professionalmedian $1,862 · 10th to 90th $30 to $2,291
$50$200$1K$5Kfacility $3,802professional $1,862

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
$1,412.54
Median
$1,513.56
Typical High
$2,344.23
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
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
HMSA
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$2,187.76
Typical High
$2,290.87
HMSA
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$977.24
Median
$1,096.48
Typical High
$1,148.15
HMSA
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$331.13
Median
$371.54
Typical High
$389.05
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$1,778.28
Typical High
$2,238.72
United
Setting
Facility
Modifier
None
Typical Low
$3,467.37
Median
$3,981.07
Typical High
$10,232.93
United
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,862.09
Typical High
$1,862.09
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$251.19
Typical High
$1,995.26

Where Hawaii sits

The same service costs 7.5 times more in Maine than in Arkansas. 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.

Physician feeFacility fee

Hawaii· 40th of 51

$5,664

$1,862 physician + $3,802 facility

ME $34,221AR $4,574

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.