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Lumbar Decompression (PILD) or Placebo, Blinded Trial

Pennsylvania rates for HCPCS G0276

Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (PILD) or placebo-control, performed in an approved coverage with evidence development (CED) clinical trial

Rates data updated July 2026.

How much does Lumbar Decompression (PILD) or Placebo, Blinded Trial cost?

$380

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $363 from a physician practice, and about $5,370 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 8 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$363$331 to $417
FacilityA hospital or hospital-owned outpatient department$5,370$2,512 to $7,762

How much rates vary

Facilitymedian $5,370 · 10th to 90th $537 to $8,511Professionalmedian $363 · 10th to 90th $295 to $490
$200$500$1K$2K$5K$10K$20Kfacility $5,370professional $363

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
$537.03
Median
$5,370.32
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$354.81
Typical High
$426.58
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$380.19
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$512.86
Typical High
$724.44
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$489.78
Typical High
$630.96
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$4,786.30
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$363.08
Typical High
$1,412.54
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$436.52
Typical High
$436.52
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$371.54
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,165.95
Typical High
$21,379.62
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$416.87
Typical High
$707.95

Where Pennsylvania sits

The same service costs 15.1 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.

Pennsylvania· 43rd of 51

$380

CA $5,248NM $347

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.