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Destroying A Small Area Of Spinal Cord For Pain

South Dakota 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?

$1,820

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,820 for this service. The price depends on where it is billed: about $1,820 from a physician practice, and about $1,820 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,820$1,000 to $2,399
FacilityA hospital or hospital-owned outpatient department$1,820$1,479 to $3,090

How much rates vary

Facilitymedian $1,820 · 10th to 90th $1,230 to $4,365Professionalmedian $1,820 · 10th to 90th $851 to $2,951
$1K$2K$5Kfacility $1,820professional $1,820

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,000.00
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,344.23
Typical High
$2,951.21
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,584.89
Typical High
$2,344.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,778.28
Typical High
$7,762.47
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,344.23
Typical High
$2,344.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,995.26
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,548.82
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,698.24
Typical High
$2,754.23
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,238.72
Typical High
$2,630.27

Where South Dakota 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.

South Dakota· 10th of 51

$1,820

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.