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Targeted Destruction Of A Facial Nerve Center

Wyoming rates for HCPCS 61790

Uses imaging guidance to pass a needle through the cheek to a nerve center deep at the base of the skull that carries sensation from the face, then destroys part of it with heat, chemical, or electrical energy. Interrupting the nerve signal relieves severe, shock-like facial pain that has not responded to medicine. No open incision is made.

Rates data updated October 2026.

How much does Targeted Destruction Of A Facial Nerve Center cost?

$4,229

Typical total for the visit. In Wyoming, October 2026.

Insurers have agreed to pay about $4,229 for this procedure. That total is two separate charges: $2,188 to the doctor who performs it, and $2,042 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,188$1,820 to $2,951
Facility feeThe hospital or surgery center$2,042$2,042 to $2,455

How much rates vary

Facilitymedian $2,042 · 10th to 90th $2,042 to $3,020Professionalmedian $2,188 · 10th to 90th $1,479 to $3,467
$1K$2K$5K$10Kfacility $2,042professional $2,188

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$2,951.21
Typical High
$3,467.37
BCBS Wyoming
Setting
Professional
Modifier
50 · Both sides
Typical Low
$2,691.53
Median
$4,365.16
Typical High
$5,248.07
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$2,238.72
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,479.11
Typical High
$2,089.30
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$2,630.27
Typical High
$10,471.29
United
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,737.80
Typical High
$3,388.44

Where Wyoming sits

The same service costs 3.7 times more in Alabama 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

Wyoming· 10th of 51

$4,229

$2,188 physician + $2,042 facility

AL $7,687MD $2,103

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.