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Spinal Fluid Leak Repair With Bone Removal

Nationwide rates for HCPCS 63709

Repairs a tear in the tough membrane around the spinal cord, or a pocket of spinal fluid that has collected outside it, after removing a section of bone from the back of the spine to reach the problem. Sealing the leak stops fluid escaping and relieves the headaches and swelling it causes. A patch of tissue or a sealant may be used to reinforce the repair.

Rates data updated July 2026.

How much does Spinal Fluid Leak Repair With Bone Removal cost?

$7,724

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $7,724 for this procedure. That total is two separate charges: $1,698 to the doctor who performs it, and $6,026 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 52 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,698$1,259 to $2,455
Facility feeThe hospital or surgery center$6,026$2,239 to $10,715

How much rates vary

Facilitymedian $6,026 · 10th to 90th $1,259 to $15,136Professionalmedian $1,698 · 10th to 90th $1,072 to $4,467
$100$500$2K$10Kfacility $6,026professional $1,698

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
$1,096.48
Median
$4,265.80
Typical High
$12,022.64
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$9,120.11
Typical High
$16,982.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$2,754.23
Typical High
$8,709.64
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$3,090.30
Typical High
$10,000.00

What it costs in each state

The same service costs 6.6 times more in California than in Maryland. 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

Touch or drag across the chart to see any state's rate.

CA $11,551MD $1,756

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.