Numbing Injection Near the Nerve Controlling the Diaphragm
Iowa rates for HCPCS 64410
This covers an injection of numbing medication around the phrenic nerve in the neck, which controls the diaphragm, the main muscle used for breathing. It can be used to help evaluate diaphragm function, to relieve symptoms such as persistent hiccups, or as part of certain pain management or surgical planning. The injection is a short outpatient procedure.
Rates data updated July 2026.
How much does Numbing Injection Near the Nerve Controlling the Diaphragm cost?
$282
Typical physician fee. In Iowa, July 2026.
Insurers have agreed to pay about $282 for this service. Most negotiated rates run $219 to $427.
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 3 insurance carriers under federal price transparency rules.
How much rates vary
Facilitymedian $257 · 10th to 90th $219 to $12,023Professionalmedian $282 · 10th to 90th $178 to $1,023
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
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$338.84
Typical High
$426.58
Professional
Global
$177.83
$338.84
$426.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$257.04
Typical High
$12,022.64
Facility
Global
$218.78
$257.04
$12,022.64
Medica
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$398.11
Typical High
$1,023.29
Professional
Global
$173.78
$398.11
$1,023.29
Midlands
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$281.84
Professional
Global
$257.04
$257.04
$281.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$251.19
Typical High
$269.15
Professional
Global
$147.91
$251.19
$269.15
Where Iowa sits
The same service costs 173.8 times more in California than in Mississippi. 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.