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Destroying A Small Area Of Spinal Cord For Pain

Washington, DC rates for HCPCS 63600

A needle is guided through the skin into a precise target in the spinal cord using imaging, and a small area of nerve tissue is deliberately destroyed to interrupt pain signals traveling to the brain. Electrical stimulation and recording through the same needle confirm the position before the lesion is made. It is reserved for severe pain that has not responded to other treatment, most often pain from advanced cancer.

Rates data updated July 2026.

How much does Destroying A Small Area Of Spinal Cord For Pain cost?

$1,445

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $1,445 for this service. Most negotiated rates run $1,148 to $3,548.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,074 · 10th to 90th $1,148 to $7,762Professionalmedian $1,148 · 10th to 90th $1,122 to $1,995
$1K$2K$5K$10K$20Kfacility $4,074professional $1,148

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$4,073.80
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,148.15
Typical High
$1,445.44
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,819.70
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,148.15
Typical High
$2,884.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$2,290.87
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$8,912.51
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,479.11
Typical High
$2,951.21

Where Washington, DC sits

The same service costs 4.0 times more in California than in New Mexico. 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, DC· 25th of 51

$1,445

CA $4,169NM $1,047

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.