CPT 63090
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
REMOVAL OF MIDDLE; LOWER; OR SACRAL SPINE BONE WITH RELEASE OF SPINAL CORD OR NERVES; TRANSPERITONEAL OR RETROPERITONEAL APPROACH; SINGLE SEGMENT
Low
$627
Average
$4.8k
Median
$3.7k
High
$14.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
59 payers; the 90th percentile is 5.5× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare case rate · outpatient · +24 other terms | 373 | $4.6k | $6.4k | $4.8k | 76% | — | $1 – $30k |
| 2 | Cigna case rate · outpatient · +19 other terms | 221 | $6.8k | $12.8k | $8.6k | 68% | — | $1 – $40.7k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +18 other terms | 195 | $11.8k | $18.9k | $15.3k | 81% | — | $0 – $69.7k |
| 4 | Aetna case rate · outpatient · +23 other terms | 166 | $4.2k | $6.0k | $4.2k | 70% | — | $678 – $24.8k |
| 5 | Humana fee schedule · outpatient · +20 other terms | 103 | $1.9k | $5.5k | $5.3k | 97% | — | $1.6k – $23.5k |
| 6 | Anthem fee schedule · outpatient · +15 other terms | 87 | $2.7k | $6.1k | $6.2k | 103% | — | $1.7k – $28.3k |
| 7 | Molina case rate · outpatient · +12 other terms | 84 | $4.8k | $7.0k | $5.7k | 81% | — | $264 – $25.8k |
| 8 | Oscar case rate · outpatient · +13 other terms | 57 | $3.6k | $4.5k | $1.5k | 32% | — | $3.3k – $7.3k |
| 9 | Healthcare Highways case rate · outpatient | 53 | $5.8k | $8.5k | $4.8k | 57% | — | $2.1k – $14.6k |
| 10 | WellCare facility · case rate · outpatient · +9 other terms | 45 | $12.6k | $10.5k | $6.3k | 60% | — | $1.7k – $19.0k |
| 11 | Kaiser fee schedule · outpatient · +12 other terms | 41 | $1.9k | $1.9k | $638 | 33% | — | $45 – $4.1k |
| 12 | Superior Healthplan case rate · outpatient | 33 | $948 | $944 | $8 | 1% | — | $929 – $948 |
| 13 | Bcbs Tx fee schedule · outpatient · +2 other terms | 31 | $3.2k | $3.3k | $1.4k | 41% | — | $1.6k – $8.5k |
| 14 | Regence professional · fee schedule · outpatient · +3 other terms | 28 | $969 | $2.1k | $1.7k | 83% | — | $302 – $6.1k |
| 15 | Medica case rate · outpatient · +9 other terms | 25 | $2.2k | $2.0k | $943 | 46% | — | $671 – $4.5k |
| 16 | Caresource facility · case rate · outpatient · +11 other terms | 21 | $12.4k | $11.3k | $5.9k | 52% | — | $1.7k – $22.0k |
| 17 | Devoted fee schedule · outpatient · +5 other terms | 21 | $1.9k | $1.9k | $21 | 1% | — | $1.8k – $1.9k |
| 18 | Ambetter facility · case rate · outpatient · +7 other terms | 18 | $30.5k | $25.2k | $11.7k | 46% | — | $2.1k – $34.6k |
| 19 | Medicare fee schedule · outpatient · +7 other terms | 18 | $1.9k | $1.8k | $49 | 3% | — | $1.7k – $1.9k |
| 20 | Optum facility · case rate · outpatient · +7 other terms | 18 | $12.1k | $11.7k | $4.1k | 35% | — | $1.9k – $19.5k |
| 21 | Highmark fee schedule · outpatient · +9 other terms | 13 | $2.1k | $2.4k | $1.1k | 45% | — | $1.1k – $11.1k |
| 22 | Medicaid fee schedule · outpatient · +5 other terms | 13 | $75 | $384 | $585 | 152% | — | $40 – $1.6k |
| 23 | Wellmark fee schedule · both · +7 other terms | 13 | $3.4k | $3.4k | $1.0k | 30% | — | $1.7k – $4.4k |
| 24 | Aetna Better Health fee schedule · outpatient · +9 other terms | 12 | $1.8k | $1.8k | $17 | 1% | — | $1.8k – $1.8k |
| 25 | Amerihealth Caritas fee schedule · both · +6 other terms | 12 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
← Hospitals reporting CPT 63090 · Snapshot 20261113T090226Z-3ce6c0b8