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Numbing Injection Near the Nerve Controlling the Diaphragm

Virginia 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?

$214

Typical physician fee. In Virginia, July 2026.

Insurers have agreed to pay about $214 for this service. Most negotiated rates run $151 to $240.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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

Professionalmedian $214 · 10th to 90th $145 to $240
$200$500professional $214

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
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$151.36
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$229.09
Typical High
$239.88

Where Virginia 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.

Virginia· 30th of 39

$214

CA $4,365MS $25.12

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.